Do you recommend having the fungus toenail removed?

If painful, yes.: A severely fungally infected toenail is often thickened, ingrown and chronically painful. If this is the case, then removal in a permanent manner can "cure" the problem. Permanent nail removal involves a second step beyond simple nail removal.

Toe fungus: I would recommend treating the fungus with topical, systemic antifungals or even laser therapy. Most can be cured although therapy can sometimes be prolonged.

Not usually: I have seen many patients that had their previous doctor remove the nail for this reason. More times than not the nail grew back thick and the fungus recurred. I would exhaust conservative care if possible first. If you still end up having the nail removed, treat it prophylactically with a topical nail antifungal once you first see regrowth of the nail.