Ingrown toenails Abstract. Ingrown toenails are the most common foot problems in primary care. Untreated or mistreated ingrown toenails will lead to unacceptable long suffering of the patient with negative impact on their daily life. Still there is no consensus reached for best treatment and usually the surgical options are the last solution. One reason might be the high variety in conservative und surgical treatment. But also, the high recurrence rates after surgery with up to 30 % described in literature. We think, that these high numbers might be also a sign for improper performed surgery. In this article we would like to give you a step by step pathway in a minimal invasive partial nail avulsion with partial matricectomy, which we perform since several years in our clinic. We are convinced of the cosmetical, functional and long-term results of this procedure.