AIM:To explore a simple and effective surgical method for correction of congenital entropion in lower eyelid with epicanthus. METHODS:Fifty cases(29 eyes) underwent reconstruction of inner canthus and skin orbicularis muscle resection:patients with inverse epicanthus underwent L-type skin orbicularis muscle resection; patients with other types of epicanthus underwent y-v plasty combined with skin orbicularis muscle resection. RESULTS:The posoperative follow-up of 6 to 12 months showed that the correction of entropion in lower eyelid and epicanthus were satisfactory in all cases. Transverse diameter of palpebral fissure extended,inner canthus was natural.Parents and patients were satisfied with the good cosmetic results. CONCLUSION:This method of combined operation is simple and effective,and good for lower eyelid functional recovery.It has minimal posoperative scar and improves the therapeutic effect of congenital entropion in lower eyelid.In all the patients postoperative recurrence seemed unlikely.It can be used as a routine operation for congenital entropion.