Pterygia that are threatening the visual axis, causing significant astigmatism or irritation should be excised. Our modern methods of pterygium surgery greatly reduce the incidence of recurrence and have a better cosmetic outcome. Dr. Andrews is a national speaker and advocate for the use of amniotic membrane in ocular surface reconstruction. This method includes primary excision, polishing of the corneal bed, and precise application of an amniotic membrane transplant (AMT) graft in the bed of the former pterygium. While reports vary, such a method generally reduces the risk of recurrence from 50 percent with just primary excision down below 5 percent, and usually reduces post-operative pain as well.