Syndactyly fingers are the most common condition among the congenital hand-foot anomalies and the procedure for surgically separating the fingers can be successfully performed in the first year of life. Skin deficits that may occur while separating the fingers are repaired by using patches of skin also extracted from the child. It is essential that the timing of the surgery is right and the procedure is performed meticulously in order to achieve a functional and aesthetic result. As a result, the procedures which are to be performed in the first years of life will always have effect throughout the child’s life both functionally and mentally.