Does my baby need a skin graft at the time of surgery for multiple toes on the left foot? There is a mommy inquiry that the baby’s left foot has multiple toes and toes together, do they need skin graft at the time of surgery. Whether a skin graft is needed for multiple toes on the foot depends on the specific situation. If the multiple toes are removed and can be sewn up directly when the toes are separated, then a skin graft is not needed; if there is not enough skin around the toes when they are separated, then a bit of synthetic dermis is used to cover the skin. If you can sew it up directly, the whole healing process will be faster, about three or four weeks to grow well, if the relative edge of the place where there is not enough skin, the healing will be a little slower if you put artificial dermis, it may take about six weeks to grow well, there will be a two or three weeks of time difference in between.