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BACKGROUND The transconjunctival technique is a preferable and beneficial approach in mild to moderate blepharoptosis repair as without skin incision. However, accurate surgical manipulation of this method is greatly restricted by the poor intraoperative evaluation. OBJECTIVES To introduce a modified transconjunctival approach with flexible intraoperative adjustments in order to achieve more accurate ptosis correction. METHODS By transconjunctival approach, the levator aponeurosis and the Müller's muscle were folded using a square-like mattress suture for flexible adjustment and accurate correction. RESULTS In 18 mild ptosis eyelids, 94.5% (17 eyelids) achieved adequate or normal correction. In 9 eyelids with moderate ptosis, 88.9% (8 eyelids) achieved adequate or normal correction. Amongst 24 ptosis patients, 23 (95.8%) achieved good or fair symmetry result. CONCLUSION We presented a modified transconjunctival technique for repair of mild to moderate ptosis, which is characterized by flexible intraoperative adjustments achieving both satisfying functional and aesthetic outcomes.