AIM:To observe the clinical effect of reposition for prolapse of the lacrimal gland. METHODS:After diagnosing prolapse of the lacrimal gland,we made designs for skin incision before local anesthesia,marked the boundaries of the skin to be removed,then ablated the internal organization,fixed prolapsed lacrimal gland,and sutured double eyelid intactly. RESULTS:Among all the 33 cases,lacrimal gland was partially removed in 10 cases,and the lacrimal gland secretion in these cases was normal preoperatively,and slightly decreased after operation.Lacrimal gland was excised alone in 6 cases,without other treatment,bags under the eyes in those cases was not corrected satisfactorily.For the remaining patients,we made skin incision,removed the excessive skin and subcutaneous tissue,relocated the lacrimal gland,reduced the orbital septum,and the appearance was satisfying. CONCLUSION:The surgical anatomy can both restore the anatomical location and neurologic recovery of the lacrimal gland,and also improve the appearance of the bags under the eyes.