All the names in Paronychia described from South America are investigated. Five names (P. arbuscula, P. brasiliana subsp. brasiliana var. pubescens, P. coquimbensis, P. hieronymi, and P. mandoniana) are lecto- or neotypified on specimens preserved at GOET, K, LP, and P. The typification of nine names, first proposed by Chaudhri in 1968 as the “holotype” are corrected according to Art. 9.10 of ICN. Three second-step typifications (Art. 9.17 of ICN) are proposed for P. camphorosmoides, P. communis, and P. hartwegiana. The following nomenclatural changes are proposed: P. arequipensis comb. et stat. nov. (basionym: P. microphylla subsp. microphylla var. arequepensis), P. compacta nom. nov. pro P. andina (Philippi non Gray; Art. 53.1 of ICN), P. jujuyensis comb. et stat. nov. (basionym: P. hieronymi subsp. hieronymi var. jujuyensis), P. compacta subsp. boliviana comb. nov. (basionym: P. andina subsp. boliviana), and P. compacta subsp. purpurea comb. nov. (basionym: P. andina subsp. purpurea). A new species (P. glabra sp. nov.) is proposed based on our examination of live plants and herbarium specimens. P. johnstonii subsp. johnstonii var. scabrida is synonymized (syn. nov.) with P. johnstonii. Finally, P. argyrocoma subsp. argyrocoma is excluded from South America since it was based on misidentified specimens (deposited at MO) of P. andina subsp. andina. A total of 30 species (43 taxa including subspecies, varieties, subvarieties, and forms) are recognized, highlighting that for some (Paronychia chilensis, P. communis, P. setigera) we provisionally accept Chaudhri’s infraspecific classification, since the high phenotypic variability of these taxa is quite complicated and further investigations need to solve their taxonomy.