Introduction. Recurrent pterygium, grade III is clinically manifested by a triangular fold of the bulbar conjunctiva with the base towards the semilunar fold and the tip over the pupillary area. Material and methods. The study included 8 patients (4 men and 4 women) with recurrent pterygium aged 23-73 years, who underwent pterygium removal according to a modified method. Thus, during the surgical intervention, a movable, free, rectangular flap with sides 5 x 3 mm was prepared inferiorly paralimbally, which was fixed conjunctivally paralimbally, nasally in the area of the body of the pterygium translocated to the superior or inferior fornix. It is important to position the formed conjunctival flap with a limbal orientation. At the end of the operation, a therapeutic lens is applied to the cornea for a period of 1 month. Results. The postoperative recovery was carried out during the first month, while a conjunctival hyperemia was maintained, determined by the suture fibers used to fix the conjunctival autograft. One month after the microsurgical intervention, a total epithelialization of the cornea was determined (the test with negative Fluorescein).3 months after the operation, no signs of recurrence of the operated pterygium were detected. Conclusions. The microsurgical method proposed for the treatment of grade III recurrent pterygium is safe and effective, determining the lack of postoperative recurrence. The absence of recurrence of the postoperative pterygium would be due to the damming effect of the translocated conjunctival flap.