Not long ago I gave you a lesson on girdle syndrome, and then many moms sent me pictures asking me to help see if the baby was obese causing the folds or the girdle. In fact, the vast majority of babies have obesity-related folds, and only a very small number of babies have girdle syndrome. Although girdle syndrome is relatively rare, unfortunately there are still babies with it in the clinic, and last Friday I saw a baby with a missing left thumb due to an amniotic girdle. The parents of this baby consulted with other doctors, one doctor said to transplant the toe and another doctor suggested to show the bunion, both surgical options were not acceptable to the parents. After looking at the baby’s films and examining the condition of the baby’s fingers, I felt that it would be a shame to do a direct bunion without a toe transplant. Because the baby’s piriformis muscle is relatively okay for the muscle and good for the palm, it is the lack of a bone, we can fill in the missing bone. After the surgery is done, the baby’s thumb will have a stable joint and a certain length, so that the baby’s thumb will be functional. After explaining the surgical plan to the parents, they were very receptive.