With a baby with a parallel finger, my recommendation is to operate at around six months. Why? Because if the baby has the little finger, ring finger, and middle finger together, then the baby’s ring finger and middle finger will be easily carried off by the little finger, and a slightly earlier surgery will free the baby’s fingers so that they can grow and develop normally. In general, we try to separate the fingers that are together at the same time when performing finger-splitting, as long as the conditions allow. This is because it is more painful for the baby if the fingers are split multiple times. If we do it all at once, the baby will have less pain and can start functional exercises as early as possible. This baby with Poland syndrome had a single surgery to separate all the joined fingers. The surgery was successful, with minimal trauma and minimal scarring on the back of the baby’s hand, and no skin or implants were taken from other parts of the baby’s body.