AIM: To observe the cosmetic results of autologous conjunctiva in pterygium surgery. METHODS:Of the 94 pterygium patients (102 eyes), patients with primary pterygium adopted pterygium excision and conjunctiva reservation surgery. For recurrent pterygium patients, all pathological tissues were removed with superior temporal conjunctival transplantation of the operated eye. RESULTS:Totally 83 eyes had normal appearance and no obvious signs of surgery to achieve beautiful results, accounting for 81.4%. CONCLUSION:Autologous conjunctival transplantation for pterygium can restore the natural appearance to meet the aesthetic requirements of the patients, which is the mainstream treatment of pterygium now.