Background: Pterygium is a fibrovascular development of aberrant conjunctival tissue that progresses to the limbus and eventually invades the cornea's superficial layers. This is a frequent ophthalmic condition This syndrome is most commonly encountered in dry, dusty settings. Methods: This prospective study included a total of 43 patients with primary nasal pterygium, attending at Outpatient Clinic of Ophthalmology Department, at Dr PSR Regional Eye Hospital, Kurnool Medical College, Kurnool. This study was conducted between May 2022 to April 2023 Results: This study included consecutive surgeries using the technique of conjunctival autograft fixation with Bipolar electrocautery in 43 eyes of 43 patients for primary (n = 43 cases) pterygium and out of 43, three are double headed pterygium, eighteen of 43 patients (41.86 %) were female, and 25 (58.13%) were male . The mean age of patients was 67 years old, with a range of 32 to 69 years The length of follow-up ranged from 6 to 8 weeks (1- 2 months). There were no intraoperative or major postoperative complications. The average of postoperative ocular discomfort degree assessed on a scale from 1 to 10 was 4 (mild). Conclusion: This study demonstrates that the suture less, glueless conjunctival autograft approach is safe, straightforward, quick to execute, requires less surgical time, and is highly successful for managing primary pterygium.