Background: A pterygium is a benign growth of the conjunctiva that extends onto the cornea. It is often triangular in shape and can occur in one or both eyes. The present study was conducted to assess outcome of conjunctival autograft in primary and recurrent pterygium. Materials & Methods:65 cases of primary and recurrent pterygium of both genders were examined under a slit lamp, and the Pterygium type was recorded. Notable were the results of the fundus examination, visual acuity, refraction, ocular motility, intraocular pressure, and potency of lacrimal channels. Results: Out of 65 patients, males were 30 and females were 35. Occupation was indoor in 24 and outdoor in 41 cases. There were 54 cases of progressive primary Pterygium, and 11 cases of recurrent Pterygium. Pterygium location was nasal in 38, temporal in 20 and both in 7 cases. Pterygium laterality was RE in 35, LE in 19 and bilateral in 11 cases. The difference was significant (P< 0.05). Out of 54 cases of progressive primary Pterygium, recurrence was seen in 4 and out of 11 cases of recurrent Pterygium, recurrence was seen in 1 case. Conclusion: Autogenous conjunctival grafting is a fast, simple, and safe surgery that stops pterygium from recurring and doesn't require tissue loss. Additionally, it lessens the chance of necrosis, scleral thinning, and granuloma formation.