Wedge Resection: A Long-Term Solution

A commonly performed in-clinic procedure for ingrown toenails.

What Is a Wedge Resection?

A wedge resection (also called a partial nail avulsion) is a minor surgical procedure used to treat ingrown toenails. It involves removing the offending edge of the toenail and treating the underlying nail matrix to prevent regrowth in that area.

The procedure is performed under local anaesthetic in the clinic — no hospital visit or general anaesthesia is required. It is one of the most commonly performed minor procedures in general practice.

Dr Phong Ho performs wedge resections at My Family Doctors in Five Dock. The procedure attracts a Medicare rebate under MBS item 47915, reducing your out-of-pocket cost.

Medical textbook diagram illustrating the wedge resection procedure, showing the section of nail removed and the nail matrix treatment area

The Procedure Step by Step

Here is what to expect during your wedge resection appointment.

Overhead view of a sterile surgical instrument tray prepared for a wedge resection procedure
1

Assessment and Consent

Dr Ho will examine your toe, discuss the procedure, and answer any questions. Your medical history — including any medications, allergies, diabetes, or circulation issues — will be reviewed. Written consent is obtained before proceeding.

2

Local Anaesthetic

A digital nerve block is administered at the base of the affected toe using local anaesthetic. This numbs the entire toe. You may feel a brief sting during the injection, but the toe becomes completely numb within a few minutes.

3

Wedge Removal

Using sterile instruments, the offending nail edge (the "wedge") is carefully separated from the nail bed and removed. This is the portion of nail that has been growing into the skin and causing pain.

4

Phenol Cauterisation

Phenol (a chemical agent) is applied to the exposed nail matrix — the area where the nail grows from. This destroys the nail-producing cells in that specific area, preventing the removed section of nail from regrowing. This is what helps reduce the likelihood of recurrence.

5

Dressing and Aftercare

The toe is cleaned, an antiseptic is applied, and a sterile dressing is placed. You will receive detailed aftercare instructions before leaving the clinic. The entire procedure typically takes 10–15 minutes.

Recovery and Aftercare

Recovery from a wedge resection is straightforward. Most patients return to normal daily activities within 1–2 days.

  • Day of the procedure: Keep the dressing clean and dry. Rest with the foot elevated where possible. Take paracetamol or ibuprofen if you experience any discomfort.
  • First 1–3 days: Change the dressing daily as instructed. Wear open-toed footwear or loose-fitting shoes. Avoid strenuous exercise, swimming, and prolonged standing.
  • Week 1–2: The toe will gradually heal. Continue regular dressing changes. Keep the area clean with gentle saline or antiseptic soaks as directed.
  • Week 2–4: Most patients are fully healed by this stage. The nail will appear slightly narrower than before, but this is cosmetically subtle and rarely noticeable.
Post-procedure bandaged big toe showing a clean, professional dressing

What to Expect

Before

Before the Procedure

  • No special preparation is required
  • Eat and drink normally before your appointment
  • Continue taking your regular medications
  • Wear open-toed shoes or thongs to the appointment for comfort afterwards
  • Inform the doctor of any allergies, medications, or medical conditions
During

During the Procedure

  • You will be seated comfortably during the procedure
  • A local anaesthetic numbs the toe — you should not feel pain during the procedure
  • The procedure takes approximately 10–15 minutes
  • You will be awake and able to talk to the doctor throughout
  • No stitches are required
After

After the Procedure

  • The numbness wears off within 2–4 hours
  • Mild discomfort is normal and manageable with paracetamol
  • Keep the toe clean and dry for the first 24 hours
  • Daily dressing changes for 1–2 weeks
  • Full healing typically within 2–4 weeks

Medicare Rebate Information

When a wedge resection is performed by a GP, the procedure is billed under Medicare Benefits Schedule (MBS) item 47915. This attracts a Medicare rebate, which reduces your out-of-pocket cost.

Fee Summary

Total procedure fee: $400
Medicare rebate: Applicable under MBS item 47915
Consultation fee: A standard GP consultation fee applies and may also attract a Medicare rebate.

Please contact the clinic on (02) 9051 2885 for the most current fee and rebate information.

When performed by a GP, the Medicare rebate helps reduce the overall out-of-pocket cost for patients.

Why Choose Dr Phong Ho?

Dr Phong Ho performs wedge resections personally at My Family Doctors in Five Dock. As a General Practitioner, Dr Ho offers several advantages:

  • Holistic assessment — Your overall health, including diabetes, circulation, and medications, is reviewed before any procedure
  • Prescribing authority — Antibiotics or other medications can be prescribed on the spot if needed
  • Medicare rebate — The procedure attracts a Medicare rebate under MBS item 47915
  • Continuity of care — As your GP, Dr Ho can manage follow-up and any ongoing foot health concerns
  • Convenient location — My Family Doctors is centrally located in Five Dock with easy access from surrounding Inner West suburbs

Book Your Consultation Today

Take the first step towards lasting relief. Book a consultation with Dr Phong Ho at My Family Doctors, Five Dock.

Book Now on HotDoc Call (02) 9051 2885