This mainly depends on the surgical plan for treating floating bunions. Currently, there are three main surgical options for treating floating bunions: bunionization, metatarsal bone reconstruction, and hemimetacarpal bone graft reconstruction techniques. If the bunion is treated with thumb bunionization surgery, there is no need for skin grafting because the thumb is directly removed and the index finger is moved to the thumb position to be used as a thumb, and the amount of skin is already more than enough, so there is no need for skin grafting. If it is treated with metatarsal reconstruction, a skin graft may be needed. Because the first metacarpal is reconstructed from a portion of bone taken from the foot, the amount of skin is relatively small, and a skin graft may be needed during surgery. The hemi-metacarpal bone graft reconstruction technique that we are now using to treat bunions can be done without a skin graft because we make certain changes in the surgical approach and technique to avoid the need for a skin graft. Whether or not a skin graft is needed for bunion surgery depends on the size of the surgical wound, as smaller wounds can be sutured up directly. The scar may be larger, but the healing time will be shorter and the aftercare will be more convenient for the parents. However, if the scar is too obvious, or if the skin tension is too high, and we want to avoid that, we need some skin grafts. What are the issues involved if a skin graft is used in surgery? First of all, the donor area, which is usually chosen on the stomach, will have new trauma and scars on the child’s stomach after the surgery, which will have some effect on the appearance. The second problem is the survival of the implant. The skin implanted from the stomach is not 100% viable, and there is a certain chance of necrosis. Even if the implant is successful, the recipient area may suffer from hyperpigmentation and decreased sensory function, so parents need to be careful when choosing a surgical option.