25-34 year old male who lost the thumb of his dominant hand in a work related accident. As a result of the injury, the patient could not work and could not use his hand to perform activities of daily living. The thumb is essential for hand function and is necessary to grab, pinch, and oppose. The patient underwent a toe to thumb transfer where I transplanted the patient’s great toe to the left hand thumb remnant. Using microsurgical techniques, the tendons, nerves, arteries, and veins are attached. In the post-operative photos, you can see that the toe looks similar to the thumb and now the patient has near normal hand function.