Purpose: To introduce and evaluate of Pterygium excision combined with the new Sliding and Rotating Conjunctival Flap techniques Methods: This retrospective study is from Hainan Provincial Eye Hospital, Zhongshan Ophthalmic Center. The patients diagnosed Pterygium come from January 2021 to June 2022, were followed up for at least 12 months. Pterygium is classified and staged according to the grading system based on Stage, Vascularity, Conjunctive tissue thickness, and corneal tissue thickness. The patients underwent Pterygium excision combined with Sliding and Rotating Conjunctival Flap and compared with the Free Conjunctival Flap group. Compare the intraoperative surgery time, complications, and postoperative recurrence rate between the two groups, and compare the statistical differences between the two groups using t-tests or analysis of variance. Results: There was no statistically significant difference in intraoperative and postoperative complications and recurrence rates between the two groups (P<0.05). The SRCF group had a surgery time of 7.5 ± 1.12 (N=152) min, while the FCF group had a surgery time of 25.7 ± 5.4 (N=154). After T-test, the difference between the two groups was statistically significant (P<0.05). Conclusion: The combination of Pterygium excision and Sliding and Rotating Conjunctival Flap can reduce surgical time and trauma compared to Free Conjunctival Flap, and improve surgical efficiency.