This chapter provides a pictorial review of the range of pathologies affecting the ocular surface and their surgical treatments. This comprehensive chapter features high-quality images illustrating the progression and management of pterygium, from the initial appearance to advanced growth impinging on the corneal surface. The successful outcomes of autologous conjunctival transplantation are depicted, highlighting its role in pterygium surgery. Limbal stem cell transplantation is visually chronicled, demonstrating its importance in restoring corneal clarity and integrity in cases of stem cell deficiency. The chapter also details the use of mucous membrane grafts in ocular surface reconstruction, presenting pre- and postoperative imagery. Persistent corneal epithelial defects, thinning, and perforation are examined through images before and after interventions such as tarsorrhaphy to promote healing. Lastly, corneal tattooing is shown as a cosmetic solution for disfiguring corneal scars, with a variety of patterns demonstrating the artistic aspect of this procedure. This chapter serves as an invaluable visual guide for understanding the surgical restoration of the ocular surface.