Not all hand deformities require surgery, and there are times when surgery should not be relied upon heavily, such as type I thumb dysplasia. In many cases, type I thumb dysplasia is just a relatively small finger shape, with a slightly smaller tiger’s mouth, but it does not have much effect on the child’s overall hand function, and the child can do a lot of movements such as thumb flexion, extension, abduction, and adduction. We do not advocate surgical treatment in such cases, but appropriate functional exercises can be performed. Floating thumb also belongs to thumb dysplasia, but floating thumb does not have an intact metacarpal bone. If we do not treat it surgically, the thumb will not be functional and it will have a greater impact on the child, so we have to treat it surgically. There are a number of surgical methods, demonstrating thumb bunionization, as well as taking metatarsal bones, and now we are using hemimetacarpal bone graft reconstruction, which means taking a portion of bone from the child’s second metacarpal to reconstruct the first metacarpal. So not all deformities require surgery, there are times when surgery is not needed.