Before surgery, the patient undergoes a detailed medical evaluation including blood tests, imaging studies, and specialist consultations. The surgical team explains the procedure, risks, and benefits, while preoperative planning maps the blood vessels and nerves for a successful transfer.

The surgeon usually selects the second toe because it closely resembles a finger in structure and function. In some cases, a partial great toe may be used. The toe is carefully dissected while preserving the blood vessels, nerves, tendons, and bones to ensure successful transplantation.

The damaged area on the hand is prepared by removing unhealthy tissue and shaping the site to receive the transplanted toe. Blood vessels and nerves are carefully identified and prepared for microsurgical connection.

After positioning the toe on the hand, the surgeon connects the blood vessels, nerves, tendons, and bones using advanced microsurgical techniques. Once the connections are complete, the surgical sites on the hand and foot are closed with sutures.

After surgery, the patient is closely monitored to ensure proper blood flow and healing. Pain management, antibiotics, and medications may be provided as needed. Rehabilitation and physical therapy are essential to restore strength, movement, and dexterity in the hand and foot.