Introduction: ingrown toenail is commonly met in clinical practice especially in adolescent. However, there are few literatures on managing this problem regarding the change of biomechanics of toe. The aim of this study was to determine the effect of central resection of toenail on changing toe biomechanics in dealing with ingrown toenail as regard easy technique, rapid resolution of the problem, post-technique pain and recurrence rate. Aim: To compare between central toenail resection with ordinary lateral wedge toenail resection in managing ingrown toenail as regard technique duration (in minutes), postoperative pain (according to visual analogue scale of pain) and postoperative recurrence rate. Method: One hundred Patients in a representative sample from January 2017 to January 2018 who had ingrown toenail. These patients were divided into 2 groups: group (A): underwent central toenail resection and group (B): underwent wedge toenail resection at the side of the affected toe. Treatment was prescribed and outcome at one month, two month and six months after management were analyzed. Result: in group (A): There was a significant shorter operative time, shorter hospital stay, better postoperative outcome as regard pain and no recurrence, after 6 month follow up period. Conclusion: Ingrown toenail is best be treated by central nail resection as it is simple surgical technique with no significant complications.