Syndactyl of the fingers is the most common congenital hand and foot anomaly, which is successfully operated in the first year of life by surgically separating the fingers. Skin needed to cover the exposed areas when separating the fingers is harvested in patches from the child. Timely surgery and a meticulously performed correct procedure are a must to obtain a functional and aesthetic result. After all, these procedures that will be done in the early years of life will have a permanent effect throughout the life of the child, both functionally and mentally.