The parents of a child with a floating finger on the right hand are hoping that the child will return to normal after the surgery, but it is now clear that a full return to normalcy is not possible. Why? Because most of the metacarpal bone is missing in babies with floating fingers, the finger body is very short, and the interphalangeal and metacarpophalangeal joints are not well developed, these conditions limit the results after surgery, and it is impossible to be exactly the same as a normal thumb after the surgery. Not long ago, a parent of a child with floating finger asked about reconstruction, what does reconstruction mean? What does reconstruction mean? Reconstruction means removing the floating finger and taking a part of the toe from the foot to reconstruct the thumb. It is not possible to achieve the same level of movement and shape of a normal finger after reconstruction, so it is almost impossible to return to normal. Is it possible to restore most of the function of the thumb after floating finger surgery? Yes, it is possible. Whether metatarsal bone reconstruction, hallux valgus bone graft reconstruction, or toe reconstruction of the thumb, the results are acceptable and can restore a large portion of the thumb’s function. After the surgery, the thumb can help to do some things, such as writing, eating, lifting and carrying heavy objects, doing some fine movements, etc. But it is still far from being completely normal, which requires our doctors to do more work and think of more ways to make the floating finger close to a normal thumb after the surgery.