In the case of syndactyly split fingers, our physician’s perspective is that we would prefer not to have skin grafts if we can because of the complications associated with skin grafts, such as scarring in the donor area and hyperpigmentation, scarring, and ingrown hairs in the recipient area, and there is also the possibility of necrosis of the grafts. However, in the very first stage, after the lack of skin on the opposite edge of the finger web, the problem is usually solved by a skin graft. Because of the problems associated with skin grafting, much of the surgeon’s work was focused on omitting the steps of skin grafting, such as making flaps, etc., but it was difficult to solve all types of syndactyly with one method until we devised the zero-implant syndactyly, or artificial dermal-induced no-implant syndactyly, which is a technique that is applicable to all types of syndactyly. Compared to skin grafting from the own body, the use of dermal-induced dermal-free syndactyly does not require trauma and scarring elsewhere in the body, and the texture of the healed skin is very close to that of normal skin, and it feels and functions well.