One of the most difficult and intricate surgeries in the field of hand surgery is that of Pollicization. It involves transfer of one of the fingers to create a new functioning thumb when it is absent. This elegant surgical technique has evolved over the 100 years from a simple, though unaesthetic transposition of digits to a complex procedure which demands an intelligent use of skin flaps, osteotomy and muscle balancing to create an almost normal looking aesthetic thumb. We present a review of this procedure briefly touching on its historical development, indications, and refinements in the critical steps of the technique, long term results and complications.Pollicization continues to be one of the most useful surgeries in improving the function of the hand and has stood the test of time.
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