Abstract: ［Abstract］Objective　Through clinical observation and statistics，to get the best curative effect of surgical operation in treating pigment nevus method and provide clinical guidance. Methods　We reviewed of face and neck patients (1100 patients) with pigmented nevus in the department in the department of the dermatology，plastic surgery from January 2013 to October 2015，two different methods was designed on each parts and effect of the treatment, especially satisfaction degree was analyzed by statistical methods．Results　In 100 cases of patients, only 20 patients had mild scar hyperplasia at the neck incision and the rest of the patients were satisfactory. For special parts such as mouth，nose and eye around，along thedirection of the muscle, arc and along the direction of dermatoglyph incision was designed respectively, patients obtained with higher postoperative satisfaction（P < 0.05）. Conclusion　In pigmented nevus of face and neck surgery treatment, surgical incision design requires dynamic and static combining method，incision design is important for the postoperative effect and patients' satisfaction.