Pterygium is a chronic degenerative disease, which is treatable by surgical operation. To eliminate the rate of recurrence, various methods and techniques have been employed, including beta-irradiation, mitomycin C, human amniotic membrane transplantation, and autologous conjunctival grafting. Among these, autologous conjunctival grafting, particularly limbal-conjunctival autografting, has shown promising results. We aimed to compare using sutured versus sutureless technique on the complications of operation and the advantage of one over others.A total of 122 eyes (61 sutured and 61 sutureless) were enrolled in this study. The time of operation, recurrence rate, and complications were recorded and compared.Sutureless show a lower rate of discomfort, more acceptability by patients, and nearly comparable recurrence rates.Conclusion: sutureless preferred over sutured methods.