SUMMARY: The problem of trachoma in Burma is presented. For its major sight-threatening complication of trichiasis a surgical procedure is described which is simple, effective, economical, and without any cosmetic blemish. With this procedure 1861 cases of different grades of trichiasis were operated upon at the Eye, ENT Hospital, Rangoon, with 528 cases followed up at 1 year. The results are entirely satisfactory when the operations are performed for first and second degree trichiasis, and for trichiasis of our third degree grading the success rate is 95%.