Although life is a constant process of choice, different choices correspond to different consequences and endings, but it seems a little too early for the child in this article. Xiaojun was born in a small town in Shandong, 14 years old this year, is in his second year of junior high school, his grades are excellent, the exams always fame and fortune, is a well-deserved school bully. But this is so he was born with a strange disease, the right thumb is weak, as a small balloon tethered to the palm of the hand, without any function. Without a functioning thumb, Xiaojun was inconvenienced in life and study. Whether holding things or writing, he was very different from normal people, using clips for small objects and cupping for large objects. The opportunity to reshape his thumb was right in front of him, but he resolutely refused. When Xiaojun was in the first grade, his family took him to the hospital, and the surgical recommendation given by the doctor at that time was to do thumb thumbing, which is to remove the thumb directly, and then to do thumbing surgery on the index finger, when the thumb is used, his right hand would be permanently four-fingered after the surgery, and could never be repaired. To do or not to do the surgery? Xiaojun and his family were caught in a dilemma. He wanted the thumb to function, but could not accept the reality of having only four fingers in the future. Since Xiaojun knew enough at the time, his parents left the final decision up to him. Xiaojun did not undergo surgery because he did not want to be left with only four fingers on his right hand from then on. After more than a decade of writing with a pen in his hand, he finally found hope before his midterm exams Although Xiaojun gave up the chance to have the surgery in elementary school, he and his family did not stop there in their quest for medical help. Later, in addition to the bunion surgery option, some doctors also said that they could save his thumb through metatarsal reconstruction, but they still didn’t accept it because either turning his index finger into a thumb or taking the bone from his foot to rebuild his thumb was not considered a good option in his eyes as it would be tearing down the east wall to mend the west wall. A few months ago, Xiaojun’s parents learned about hemi-metacarpal bone graft reconstruction surgery on the Internet and thought that this surgical option of taking bone from the second metacarpal to reconstruct the thumb was more feasible, so they quickly brought Xiaojun to me. Now the child has just completed two stages of surgery and is in the functional exercise stage. Although he was a little older at the time of the surgery, the good thing is that he is very understanding and is particularly cooperative when doing functional exercises, so he has recovered relatively well among children of his age after the surgery, and he can now write his own name, and I believe he will be able to do more things in life soon.