What bothers you most about this foot? Squeezing the foot. This is an adult patient with multiple toes with syndactyly, and as a child the rural area was not equipped for surgery. When she grew up, she went to see a doctor who said she could get it any way she wanted. She felt unreliable, so this time she came to Wuhan from the provinces to see me. My opinion is to remove the extra toes (circled in red in the picture) first and see how the blood vessels change during the dissection process. If the blood vessels are more stable, then we can do the toe splitting, and if the blood vessels are not good, then we have to do the surgery twice. The two surgeries are a little bit more troublesome, but among the troubles and safety, I would definitely choose safety. Correction of hand and foot deformity is not something that can be done any way you want, it must be based on the length, function and shape of the bone, so that the surgical plan formulated is truly suitable for the patient. Adults, whether it is polydactyly, syndactyly, or polydactyly, syndactyly, we can correct it through surgery, but adults pay more for surgery than babies, so if you are able to do so, you should have surgery as early as possible.