The Gundersen’s conjunctival flap involves the transposition of conjunctiva over a deepithelialized cornea. Patients with refractory infectious ulcerations, ocular surface disorders with persistent epithelial defect, neurotrophic ulcer, severe dry eye conditions, exposure keratopathy, refractory stromal thinning, peripheral ulcerative keratitis, bullous keratopathy in an eye with poor visual potential, or Mooren’s ulcer can be considered for this procedure. Patients should have been evaluated and deemed appropriate for such surgical intervention. Patients should have been educated about the risks and benefits of the procedure, including alternatives.