Background: Pterygium is a degenerative ocular surface disorder with wing-shaped fibrovascular growth of the subconjunctival tissue onto the cornea. Objectives: The purpose of this study was to compare the surgical outcomes of sutureless technique versus graft suturing technique for conjunctival autograft fixation following pterygium excision. Patients and Methods: This prospective interventional case study included 20 eyes with pterygium requiring surgical excision. Operated eyes were divided into 2 equal groups. group A, where the conjunctival auto graft was placed without using sutures and with placing a tight bandage for 24 hours after excision, and group B where the conjunctival auto graft was fixed by 8/0 nylon sutures. Results: The surgical time for group A was significantly less as compared to group B. Postoperative symptoms were seen in less number of patients and were of shorter duration in group A as compared to group B. Recurrence rate and conjunctival granuloma formation rate for group A and for group B were statistically insignificant. Visual acuity and astigmatism showed improvement in both group with no statistically significant difference between both divided groups. Conclusion: Suture-less and glue free limbal conjunctival autograft was safe, effective, economical, option for pterygium surgery.