Recently, I saw a child who had multiple toes with syndactyly, and the child had just turned three years old. The parents said that they didn’t bring the child to see me before because they thought that such a small child would have to be put under general anesthesia for fear of being affected by the surgery, and they wanted to do the surgery when they were older, and so they brought the child here now, and the child was about to go to kindergarten, and they asked me if it would be appropriate to do the surgery at this time. But in fact, the child now have to do the operation is also general anesthesia, if you want to local anesthesia have to wait until the age of nine or ten years old, the child to be very understanding to do. Because of the child’s age, do surgery will be afraid, a fear will make noise, and surgery is a very delicate operation, so like such a small child surgery should be done under general anesthesia in order to be safe. And a single short period of anesthesia will not have any impact on the child, the operation should be done when you still have to do, because when the child is older, she will also have requirements, girls love beauty, then may have to wear sandals, will feel unattractive. The child’s parents also agree with this, fearing that the child will go to school later and feel different from others. The key to the surgery is still in the amount of skin, most of these surgeries basically have a lack of skin volume, and this is an issue that must be considered. Parents also learned about the information before coming here, and named three solutions: one is to pull the skin over and sew it directly; the second is to take skin from the stomach and move it to the hand, which is also known as implant surgery; the third is to use artificial dermis to induce. Parents said more comprehensive, almost these kinds of, these three options are generally more people choose artificial dermal induction without skin grafting technology. Because if directly suture, the skin tension is relatively large, there will be a large scar, very troublesome, not as good as implantation, after all, the scars on the stomach generally can not be seen, but the scars on the instep are very obvious. That’s why nowadays they usually opt for implants or implant-free techniques. Skin grafting is not so scary, but there will be a scar on the stomach, which is better for boys, but for girls, it will have a bigger impact, and if they learn to dance in the future, the appearance will not be very good, which can be avoided if we use the artificial dermis-induced skin grafting-free technique.