One of the things that many parents of babies with juxtaposed fingers mention after coming to the office is that the baby’s juxtaposed fingers seem to grow very slowly. It is true that the fingers grow slowly because the skin is pulling the fingers together, but when we release the fingers together, the fingers grow faster and easier for the baby to use. Parents are more concerned about the number of surgeries and whether or not to have skin implants when it comes to finger merging and finger splitting. If the baby’s middle finger, ring finger and little finger are joined together, we do need to consider the number of surgeries, because if they are separated at once, there will be some risk because the skin on both sides of the ring finger is incomplete. At the time of surgery, if the blood flow is not good, we split one side first, and if everything is fine, we separate them all at once. For the skin defect after the splitting of the parallel fingers, we are now using the artificial dermis-free implant technique, which is induced by the artificial dermis and allowed to grow up slowly. Usually, it takes about eight weeks. With the artificial dermal induction no-implant technique, the quality of the locally regenerated skin is extremely similar to normal skin except for the presence of a linear scar at the long axis of the trauma.