I have been in hand surgery for many years, and every day I hear various stories from patients who have two general attitudes toward juxtaposition of multiple fingers. One is the usual attitude, where parents feel that there is not much functional impairment and the child is optimistic, and I usually suggest this kind of observation to see first and decide whether to intervene when the child is older. The other type is that before the child realizes the problem, the parents have already broken their defenses, seeking medical advice and consulting everywhere, always looking for the surgical solution that will have the least impact on the child. It was their first child, and the family attached great importance to it. They didn’t dare to leave out any of the tests they should have done when they were pregnant, and they were careful to take care of it during pregnancy. However, even with such caution, the baby was not able to escape from the accident and was found to have a syndactyly after birth. The mother blamed herself so much that she cried when she came to my clinic. Since the child had a complicated syndactyly, it was difficult to solve it with skin implants or flaps, so the parents did not let the child have surgery easily. When I saw the mother at that time, her need was to minimize the surgical scar without affecting the finger, and preferably without moving any other parts. After examining the child, we found that this child he had a complete complex juxtaposition of the fingers, the nail caps of the two fingers were joined together, which was also seen on the film, and the end phalanges of the ring finger and middle finger were bony unions, which caused some difficulties in our surgery. In this case, after we separate it, there is a problem that there is some bone exposure at the distal end of the finger, which is difficult to solve by skin grafting or flaps. Firstly, the amount of skin in the distal end is relatively small, and secondly, it is often difficult to get a skin graft in this case. Because we can only implant skin when the soft tissue bed is relatively good, it is very difficult to live when implanting skin on bone. I finally adopted the artificial dermis induction method, which allows the healthy tissues around it to grow inward slowly through artificial dermis induction to achieve a better healing purpose, without the need to take skin from other parts of the body, which also meets the mother’s needs. The post-operative healing effect was good So and finger should be intervened or not? It depends mainly on the attitude of the child and the parents. If you feel that the function is not affected you can continue to observe, if both the parents and the child feel that it needs to be addressed, it is good to actively seize the time for surgery. Nowadays, medical technology is also advancing, and the surgical results will be much better, so parents do not have to worry too much.