The paper presents the authors' experiences with very distal replantations of fingers. The results of surgical treatment in eleven cases of finger or thumb amputations at distal interphalangeal joint level or more distal are reviewed. There were 3 female and 8 male patients aged 13-45 years (mean age 25 years), with 7 amputations of the thumb and 4 amputations of other fingers. In 9 cases (82%)--8 complete amputations and 1 incomplete amputation--the replanted finger survived. In 2 failures cases, neuro-vascular flaps were used for pulp reconstruction (the authors' own modification). In 10 cases a very good functional and cosmetic result was achieved.