If conservative treatment of a minor ingrown toenail does not succeed or if the ingrown toenail is severe, surgical management is recommended by a podiatrist. The initial surgical approach is typically a partial avulsion of the nail plate known as a wedge resection or a complete removal of the toenail. If the ingrown toenail reoccurs despite this treatment, destruction of the germinal matrix with phenol is recommended. Antibiotics are not needed if surgery is performed.