Implants are better or zero implants. From our experience, the best time to perform pediatric syndactyly finger splitting surgery is around six months of age, an age when splitting is performed to release the fingers that have been joined together and allow for better growth and development. For younger children, the child will not be reluctant to move after the syndactyly surgery, and the more the child is willing to move, the better the finger will recover. If the child is older, the child will probably be reluctant to move the finger, and if the postoperative functional exercise is not carried out well, it will have an impact on the final results of the surgery, which is a very critical point. So is it better to have a pediatric syndactyly split finger implant or a zero implant? Actually, this is a choice that parents can make, if they are willing to implant the skin, they can implant the skin. But there will be some problems with skin grafting, because the skin graft is taken from the pediatric tummy, which will result in a not-so-small scar on the pediatric tummy. In addition, the skin on the tummy is naturally thicker, and after the implant, we will find that the texture and color of the implanted skin is different from that of the skin on the hand, and there is more hair. Zero implantation is also possible with pediatric syndactyly and split fingers, which is now possible with our current technology. The method of zero grafting is to put artificial dermis after finger splitting so that the surrounding normal skin grows towards the wound. By using zero grafting for finger splitting, there is no need to take skin from the baby’s stomach for grafting, so there will be no scarring in the donor area. In addition, the texture, color, and feel of the skin are good with zero implantation.