Objective To study the method of operation and one stage repair of palpebral margin pigmented nevus. Methods According to the size and position of palpebral margin pigmented nevus,we selected the correspondence operation methods on 36 cases.And we utilized eyelid flaps to repair the defect.The specimens were examined with pathology. Results The appearance of 36 cases was fine.The scars of eyelid were not obviously.36 cases were follow-up from 3 months to 6 months. Conclusions The structure of palpebral margin was refined.The operation and repair skills on the palpebral margin pigmental nevus were influential to maintain the eyelid shape and palpebral margin radian.