“Luckily, I saw you on the Internet, and I almost had bunionization” This father came to my clinic with his daughter’s film. His daughter had not come over from her hometown, and the girl had just turned two years old, with a floating bunion on her left hand and a hypoplastic thumb on her right hand. The girl had just turned two years old, with a floating thumb on her left hand and a hypoplastic thumb on her right hand. She had been to some major hospitals in Beijing before, but because her daughter’s left hand had a floating thumb, which was a serious form of thumb dysplasia, and the thumb was small, making surgery difficult, the doctor suggested that they should have a thumb bunionectomy, which was to cut off the floating thumb, and move the index finger to the thumb position to be used as a thumb, after which the child would have only four fingers left. , had no choice but to agree, ready to make an appointment for surgery. “Rushed here all night, I’m really happy to see you” The father was rummaging through his daughter’s various films while introducing the situation of his daughter’s fingers, sighing as he spoke, because his daughter’s heart ultrasound was done when she was born, and the doctor said that the blood vessels were a little bit small, and his daughter has been sick lately, and it might be that all sorts of things are running into each other, and the father was obviously feeling The father was obviously feeling tired. Because his daughter was already two years old and usually relied on clamps to hold things, the father desperately wanted to correct his daughter’s thumb through surgery as soon as possible, and rushed over overnight after seeing my science on the Internet. “Isn’t my baby a little too big?” Because the father had read a lot of my popularized content on the Internet and had a certain understanding of our hemi-metacarpal bone grafting reconstruction surgery, he was more concerned about whether it would be a little late for his daughter to have the surgery now. This is where our previous recommendation of floating bunion surgery comes into play. Why do we always recommend that parents have surgery between the ages of 6 months and 1 year? It is because this is the time when the baby’s thumb function is being established. If the thumb is corrected at this time, the baby’s thumb function will be established more smoothly, and the baby will be prevented from being forced to develop the habit of pinching objects with the index and middle fingers. If the child has already developed the habit of pinching, the surgery should not be delayed any longer. It is best to have the surgery done before the child starts kindergarten, so as to minimize the physical and psychological impact of the floating thumb on the baby.