Under the nail blue, purple, nail deformation, especially with persistent finger pain, these are the clinical manifestations of subxiphoid hemangioblastoma, the following through a case surgical procedure illustration, to everyone to the surgical treatment of this disease for an introduction. Ten years of persistent finger pain, the nail has been deformed, and the nail root is seen slightly blue after nail extraction by Zhou Hammer, Hand and Microsurgery Department, Peking University Shenzhen Hospital. Microsurgical techniques to remove the tumor complete removal of the hemangioblastoma and precise repair of the nail bed tissue suggest that the patient should be seen by a professional hand surgeon.