Postoperative pain control in surgeries performed on the nail apparatus is a challenge in dermatological practice. The use of corticosteroids (from now one, CE) in combination with intradermal or intralesional anesthetics has been used by other specialties to control joint pain and postoperative analgesia. Could this practice reduce pain in patients where the nail apparatus is manipulated? We present the case of a 50-year-old patient with onychodynia in whom the presence of a digital fibrokeratoma was diagnosed. For the surgical resection of this tumor, perioperative analgesia with triamcinolone acetonide (from now one, TA) was used, achieving adequate control of postoperative pain.