Repairing the hand after a burn is complex and there are many factors to consider. It should be noted here that the primary consideration is function, yet function and aesthetics are interrelated, and it has been said that a well-functioning hand must be aesthetically pleasing. As to whether a skin graft or flap is required, this needs to be considered in the light of the depth of the injury; a full-thickness free graft of a skin slice is a good choice, as is an ultra-thin abdominal flap. The last thing to note is that the incision should be designed to take care of the joints of the hand, sometimes across the joints and sometimes parallel to the joints. Pre-operative repair The dorsum of the hand is scarred and adherent, with contracture of the finger web and inability to flex the fingers. Using full-thickness skin slice free graft, the contracture deformity was completely loosened, and the flap adjacent to the finger web was transferred and repaired, preserving the intact skin of the metacarpophalangeal joint of the middle finger. Postoperative period: Function and appearance were both optimized.