Congenital fasciculation syndrome is a common clinical case that is seen at birth as complete or incomplete indentations surrounding the soft tissues of the limbs, mostly in the lower legs, toes forearms, fingers, etc. It is often clinically classified into four degrees: degree 1: the fascia is only embedded in the skin; degree 2: the fascia penetrates deep into the fascia and does not affect the circulation of the distal limb; degree 3: the fascia penetrates deep into the fascia and affects the circulation of the distal limb, with swelling and color change of the limb and also with nerve damage; degree 4: congenital amputation. The purpose of treatment is to remove the compression of the band, to allow the limb to develop normally, and to improve the edema of the limb, and for those who have compression of blood vessels and nerves by the band, early surgery should be performed. The surgical method is to completely loosen the girdle and to do Z-formation of the paraplegic flap. The traditional view is that the girdle should be operated in 2-3 stages to prevent flap necrosis and affect the blood flow of the limb. With the improvement of medical level and technical methods, we believe that it is completely possible to do Z-formation release directly in 1 stage surgery, which reduces the number of operations, shortens the treatment time and enables the child to obtain good development.