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Foot to Hand Toe Transfer is a highly specialized microsurgical procedure used to reconstruct missing fingers or thumbs by transplanting one or more toes from the foot to the hand. This surgery is designed to restore hand function, grip, and aesthetics—especially in cases where fingers are lost due to trauma or congenital conditions.
What We Do
Our expert microsurgeons carefully remove a toe—usually the second toe or great toe—along with its blood vessels, nerves, tendons, and bone. It is then transplanted to the hand, where its blood supply and nerve connections are re-established using microsurgical techniques. Over time, the transplanted toe adapts and begins to function like a finger.
Who Needs Toe-to-Hand Transfer?
Patients with traumatic finger amputation
Those born with congenital absence of fingers
Individuals who need a functional thumb for grip and pinch
Burn victims or industrial injury survivors
Types of Toe Transfers
Single Toe Transfer – Usually for thumb or one digit
Double Toe Transfer – For reconstructing multiple fingers
Great Toe Transfer – Provides bulk and strength, often used for thumb
Second Toe Transfer – Offers better appearance and mobility for fingers
Benefits of Toe Transfer to Hand
Restores pinch, grip, and fine motor skills
Improves hand appearance and confidence
Allows patients to perform daily tasks independently
Better long-term outcome than prosthetics in selected cases
Risks and Considerations
Donor site (foot) may experience slight imbalance or gait change
Temporary or partial loss of sensation or motion
Risk of flap failure, infection, or non-union
Requires extensive rehabilitation and physiotherapy
Post-Surgery Recovery
Patients typically require a hospital stay, followed by hand therapy to retrain muscles and nerves. With consistent physiotherapy, most patients regain a remarkable amount of hand function over time.
