This video illustrates the PERFECT for pterygium technique. The procedure is done in 3 logical segments: pterygium and extensive Tenon removal, retrieval of a very large and very thin graft, and finally the reconstruction of the pterygium site, including a new semilunar fold to obtain the optimal cosmetic result. The results of 1,000 consecutive surgeries with a 0.1% recurrence rate and the complications are also presented.