“I recognized you as soon as I came in.” This mother said that she already knew her baby had a foot problem when she was six months pregnant, but couldn’t abort it because it was her first child. She consulted doctors everywhere during her pregnancy and then found me after a friend referred her to me. She read a lot of my syndactyly (finger) science content before coming to the clinic, and the whole family was very cautious about the baby’s surgery. “It’s better to have a bone that grows sideways than not.” The mother sighed helplessly The baby has a double syndactyly, and through the x-ray we can see that the baby’s second toe is growing horizontally. This is a condition that needs to be treated as early as possible because the second toe is still growing, and the longer it takes, the more it affects the other toes. We have two treatment options for the second toe, one is to keep it and the other is to remove it. Because the second toe is longer and does not have a nail, it does not look very good if you keep it. So for cosmetic reasons, I recommend removing the second toe, and the mother prefers this option. “Can my baby use artificial dermis without implant technique?” Before finding me, mom had consulted other hospitals about taking the skin from the baby’s stomach, which she said was unacceptable, so she was looking for the ideal surgical solution. In the past, skin grafting was indeed one of the main techniques used to cover the trauma in a syndactyly split-toe surgery, i.e., taking some skin from other parts of the baby’s body to cover the trauma of the split-toe surgery, usually choosing the skin on the belly because the skin in this location is softer and more resilient. After surgery, there will be new scarring in the donor area, pigmentation and decreased sensory function in the recipient skin, and there will be a certain chance of necrosis of the skin implant. Therefore, now we mainly use artificial dermis to induce whole skin regeneration technology, which is to apply artificial dermis to the wound and induce the skin to grow on its own, and the grown skin will be very similar to the original skin, and the appearance is much better than the implant.