Macrodactyly is a congenital malformation characterized by an increase in the size of the fingers or toes due to abnormal nerve growth and has a low incidence of about 0.9% among congenital malformations of the extremities. Macrodystrophy usually occurs at birth, while the other fingers or toes are normal. Significant enlargement of one or several fingers may be seen, but not all fingers are necessarily involved. Cases of limited hypertrophy have been reported in which the damage involves only the distal ends of the fingers. The giant finger grows gradually with the growth of the affected child and its rate varies. Since the lesion is mostly located on one side of the finger, in addition to the entire finger being massive, it is common to see overgrowth on one side that causes the finger to curve to the side. The lesions are characterized by the proliferation of bone and fat. Macrophthalmia not only affects the morphology of the hand, but also the function. If the enlarged lesion is located in the carpal tunnel, there are also symptoms of nerve entrapment. Macrodactyly is primarily an accumulation of fibrofatty tissue, often occurring on the lateral or metatarsal surfaces, with asymmetric hypertrophy leading to lateral curvature. Although hypertrophy of the fingertips is the distinctive feature, involvement of the anterior segment of the foot is often overlooked, making it controversial whether the disease includes the metacarpals or the metatarsals. However, recent opinion still favors the inclusion of metacarpal or metatarsal hypertrophy in megalodontia. Fibrous tissue extends from the toe end toward the anterior segment of the foot and can lead to lateral extension. Soft tissue hypertrophy of the dorsal aspect of the foot is less common, with more hypertrophy occurring on the metatarsal surface.