diff --git a/app/Services/SyncService.php b/app/Services/SyncService.php
index 4f69df0..27b3f4a 100644
--- a/app/Services/SyncService.php
+++ b/app/Services/SyncService.php
@@ -84,6 +84,11 @@ public function sync(): array
         $report  = [];
         $baseUrl = "http://{$this->peerIp}:{$this->peerPort}";
 
+        $pruned = $this->pruneOrphanedPending();
+        if ($pruned > 0) {
+            $report[] = "{$pruned} مسیر فایل یتیم از صف retry حذف شد.";
+        }
+
         $healed = $this->healMissingFiles();
         if ($healed > 0) {
             $report[] = "{$healed} فایل گمشده شناسایی شد و در صف دریافت قرار گرفت.";
@@ -534,6 +539,10 @@ private function applyChange(array $change, string $prefix, array &$report): voi
 
         try {
             if ($action === 'deleted') {
+                if ($table === 'patients') {
+                    $this->deletePatientFilesFromDisk((int) $recordId);
+                    $this->removePatientFilesFromPending((int) $recordId);
+                }
                 DB::table($table)->where('id', $recordId)->delete();
                 $report[] = "{$label} حذف ✓";
             } elseif ($action === 'created') {
@@ -546,6 +555,9 @@ private function applyChange(array $change, string $prefix, array &$report): voi
                     $report[] = "{$label} ایجاد ✓";
                 }
             } elseif ($action === 'updated') {
+                if ($table === 'patients') {
+                    $this->deleteRemovedPatientFiles((int) $recordId, $data);
+                }
                 DB::table($table)->where('id', $recordId)->update($this->sanitize($data));
                 $report[] = "{$label} بروزرسانی ✓";
             }
@@ -554,6 +566,153 @@ private function applyChange(array $change, string $prefix, array &$report): voi
         }
     }
 
+    private function deletePatientFilesFromDisk(int $patientId): void
+    {
+        $fileFields = ['photos_before', 'photos_after', 'videos', 'audio_files'];
+        $row        = DB::table('patients')->find($patientId);
+        if (! $row) {
+            return;
+        }
+
+        foreach ($fileFields as $field) {
+            if (empty($row->$field)) {
+                continue;
+            }
+            $files = json_decode($row->$field, true) ?? [];
+            foreach ($files as $path) {
+                if (! empty($path)) {
+                    Storage::disk('public')->delete(ltrim(str_replace('\\', '/', $path), '/'));
+                    Log::info('sync: deleted patient file from disk', ['file' => $path, 'patient_id' => $patientId]);
+                }
+            }
+        }
+    }
+
+    private function removePatientFilesFromPending(int $patientId): void
+    {
+        $fileFields = ['photos_before', 'photos_after', 'videos', 'audio_files'];
+        $row        = DB::table('patients')->find($patientId);
+        if (! $row) {
+            return;
+        }
+
+        $patientPaths = [];
+        foreach ($fileFields as $field) {
+            if (empty($row->$field)) {
+                continue;
+            }
+            $files = json_decode($row->$field, true) ?? [];
+            foreach ($files as $path) {
+                if (! empty($path)) {
+                    $patientPaths[] = ltrim(str_replace('\\', '/', $path), '/');
+                }
+            }
+        }
+
+        if (empty($patientPaths)) {
+            return;
+        }
+
+        foreach (['s2c', 'c2s'] as $direction) {
+            $pending = $this->getPendingFiles($direction);
+            $cleaned = array_values(array_diff($pending, $patientPaths));
+            if (count($cleaned) !== count($pending)) {
+                $this->savePendingFiles($direction, $cleaned);
+                Log::info('sync: removed deleted patient files from pending', [
+                    'patient_id' => $patientId,
+                    'direction'  => $direction,
+                    'removed'    => count($pending) - count($cleaned),
+                ]);
+            }
+        }
+    }
+    private function deleteRemovedPatientFiles(int $patientId, array $newData): void
+    {
+        $fileFields = ['photos_before', 'photos_after', 'videos', 'audio_files'];
+
+        foreach ($fileFields as $field) {
+            if (! array_key_exists($field, $newData)) {
+                continue;
+            }
+
+            $row = DB::table('patients')->find($patientId);
+            if (! $row || empty($row->$field)) {
+                continue;
+            }
+
+            $oldFiles = json_decode($row->$field, true) ?? [];
+            $newRaw   = $newData[$field];
+            $newFiles = is_array($newRaw) ? $newRaw : (json_decode($newRaw, true) ?? []);
+            $newFiles = array_map(fn($p) => ltrim(str_replace('\\', '/', $p), '/'), $newFiles);
+
+            $removed = array_diff(
+                array_map(fn($p) => ltrim(str_replace('\\', '/', $p), '/'), $oldFiles),
+                $newFiles,
+            );
+
+            foreach ($removed as $path) {
+                if (! empty($path)) {
+                    Storage::disk('public')->delete($path);
+                    Log::info('sync: deleted removed patient file from disk', ['file' => $path, 'patient_id' => $patientId]);
+                }
+            }
+        }
+    }
+
+    public function pruneOrphanedPending(): int
+    {
+        $referenced = $this->getAllReferencedFilePaths();
+        $pruned     = 0;
+
+        foreach (['s2c', 'c2s'] as $direction) {
+            $pending = $this->getPendingFiles($direction);
+            if (empty($pending)) {
+                continue;
+            }
+
+            $valid   = array_values(array_filter($pending, fn($p) => in_array($p, $referenced)));
+            $removed = count($pending) - count($valid);
+
+            if ($removed > 0) {
+                $this->savePendingFiles($direction, $valid);
+                $pruned += $removed;
+                Log::info("pruneOrphanedPending: {$removed} orphaned paths removed from {$direction} pending");
+            }
+        }
+
+        return $pruned;
+    }
+
+    private function getAllReferencedFilePaths(): array
+    {
+        $fileFields = ['photos_before', 'photos_after', 'videos', 'audio_files'];
+        $paths      = [];
+
+        $rows = DB::table('patients')
+            ->where(function ($q) use ($fileFields) {
+                foreach ($fileFields as $field) {
+                    $q->orWhereNotNull($field);
+                }
+            })
+            ->get($fileFields);
+
+        foreach ($rows as $row) {
+            foreach ($fileFields as $field) {
+                if (empty($row->$field)) {
+                    continue;
+                }
+                $files = json_decode($row->$field, true) ?? [];
+                foreach ($files as $path) {
+                    if ($path) {
+                        $paths[] = ltrim(str_replace('\\', '/', $path), '/');
+                    }
+                }
+            }
+        }
+
+        return array_unique($paths);
+    }
+
 
     public function healMissingFiles(): int
     {