Background: Due to the exact nature and complex anatomy of the eyelid, corrective surgeries require a comprehensive understanding of the anatomy as well as comprehensive preoperative planning and surgical enforcement. Aim of the study: the present study was performed to evaluate the functional and cosmetic sequels of the lateral tarsal strip (LTS) in the correction of lower eyelid malposition Patients and Methods: this prospective single-arm interventional study was carried on 27 patients (27 eyelids) with lower eyelid malposition, executed from January 2015 to December 2017. Patients with lower eyelid malposition in the form of entropion, ectropion, or laxity as a sequence of facial palsy, involutional changes, spastic entropion and lid laxity with failure of opposition to the artificial shell were included. Results: Patients were 12 males and 15 females with a mean age of 59.37±10.27 years. Out of them, 17 (62.9%), 8 (29.6%), and 2 (7.4%) were suffered from ectropion, entropion, and lower eyelid laxity, respectively. As for the functional and aesthetic outcomes, 10 (90.9%) of patients with lower eyelid malposition, as a resultant effect of facial nerve palsy, have experienced complete healing of the epithelial defects; additionally, 4 (66.6%) of involutional ectropion candidates showed improvement of the tearing eye. Eventually, 6 (22.2%) participants developed postoperative complications. Conclusion: LTS is a simple procedure which proved its safety and efficacy in the surgical correction of lower eyelid malposition of different types and etiologies