Over the past few years, I have often asked in clinic or received phone/online inquiries from women asking, “What can I do about my long toes, which are unsightly in sandals? Can it be plasticized?” Most of the inquiries are from girls around 20-40 years old, and most of them have a second (third) toe that is on the long side, exceeding the length of the big [toe, which makes it very convenient for the toe to be on top of the inside when wearing pretty shoes, or when summer comes to wear various styles of sandals, and the toes are exposed to the outside feeling unattractive and reducing self-confidence. “Of course!” That’s how I answered these girls when they asked me if they could have plastic surgery to shorten them. They were so happy to hear this answer that they started to care about how to shorten their toes, can they keep their nails, where to shorten their toes, how big is the scar, how long will it take for them to recover, etc. I will answer these questions one by one, and give them a clear picture of their toes. Below I will answer one by one, to give the girl who wants to do pediculoplasty as a reference, less detour. The toes of the foot have three sections of phalanges except for two sections of the big [toe]. The first two sections are shorter, the first section is long with toenail and tendon stops, and surgery is not usually considered, the second section is slightly longer and has no structure other than the attachment structure for the tendon, so surgery can be considered but is not preferred. The third segment is the longest, connects to the ball of the foot, and again has only tendon attachment structures, making the third segment the preferred choice for toe shortening because of its adequate length and anatomical convenience. Since we only operate on the third segment and do not touch the first and second toes, the toenails are well preserved and there is nothing to worry about. Regarding the question of scars, I think this is a more appropriate answer, all surgeries leave scars, but we use minimally invasive small incisions, and the sutures are cosmetic sutures plastic sutures, which in layman’s terms are the same thickness as those used for sewing double eyelids, so the scars left behind are the lightest of all, and together with the various anti-scar treatments after the surgery, the scars can be eliminated to the smallest possible extent. We use a microdynamic osteotomy to shorten the third phalanx, which is usually fixed with a fine Gerber’s needle and not a plate, as the plate has to be removed twice, which would increase the scarring. The fine Kirschner’s pin is a fine steel pin, after fixation, there is only a hole the size of a pinhole, and after the fracture is healed and removed, the traces are almost invisible after a few days. These fine steel pins usually need to be fixed for more than a month after surgery. During this month, care should be taken to avoid weight-bearing on the operated toe, but appropriate activities and exercises can be carried out to avoid stiffness of the joint. So, girls who want to have their toes reshaped, taking a month or so off work is a necessity, it is best to have someone who can take care of you, and it is advisable to have only one foot done at a time for the procedure so that it will be much easier for you as well, and then do the other one when one foot is completely healed.