Nail fungus is also referred to as onychomycosis or tinea ungium. It affects about 12% of all Americans, can run in families and is more common in toenails than in fingernails. Affected nails appear thickened, discolored and may separate from the nail bed, giving the nail a “crumbly” texture . Treatment of fungal infections usually requires oral 2-4 months of oral antifungal medicines. Improvement is very gradual due to the slow re-growth of nails. Topical options are available, but are not as reliable and may take longer to be effective. Most recently, laser procedures have become available as a treatment option. In all treatment modalities, recurrence is very common and occurs in approximately 50% of patients.