Pterygium is a raised, superficial, external ocular lump that extends onto the corneal surface and typically occurs over the peri-limbal conjunctiva. It is more prevalent in the tropics due to increased UV light exposure. Pterygia are noncancerous conjunctival growths that may need to be surgically removed due to their discomfort, aesthetic concerns, or visual impairment. After removal, pterygia frequently returns. Preventing recurrence is the main objective of pterygium treatment, however cosmetic outcomes and complication rates are also taken into account. Although there are several approaches accessible, the optimal process is not universally agreed upon. There is a chance of problems and recurrence even with the greatest procedures. Various surgical techniques and graft attachment methods that are currently in use are covered in this overview. Newer methods that appear promising in preliminary research but need further testing before being suggested are also covered. The purpose of the review is to give surgeons a decision-making overview of the latest data and to assist researchers in formulating hypotheses.