Since they do not know much about floating bunions, many parents will write floating bunions as floating thumbs, which is actually the correct way to write floating bunions. Recently, several parents of children with floating bunions have asked me for advice, and one of them asked a question that many parents of older children are more concerned about, which I am sharing with you today for parents’ reference. “My daughter is almost eight years old, can she still have the floating bunion surgery to protect her five fingers?” Older children can also be operated on if there is a desire for surgery. Compared with younger children, surgery for older children is not without advantages. Older children have a greater sense of autonomy and a shorter rehabilitation and exercise process after surgery. “Is there any effect on the index finger when reconstructing the preserved finger with a half-metacarpal bone graft?” Taking a portion of bone from the child’s second metacarpal to reconstruct the first metacarpal does not affect the growth and development of the second metacarpal. From our follow-up, the second metacarpal bone can grow long and thick, and the finger mobility and strength are good. “How is the child’s thumb functioning after the surgery?” The child is able to hold things with strength, pinch small objects, hold a pen, hold a spoon, twist a bottle cap can be done, but it needs to be exercised. Post-operative rehabilitation exercise is very important, after the surgery we will tell parents how to exercise, the method is very simple, but you have to insist on exercising every day.