In 1966, Yang Dongyue successfully transferred a second toe to hand for thumb reconstruction, which made a pioneering work for thumb and finger reconstruction. Cobbett firstly performed the human great toe transfer in 1968. In the following 20 years, there have been many reports of toe transplantation in different forms to reconstruct one or more hand digits. In 2007, Wang Zengtao reported a series of "comprehensive reconstructions of thumb and finger". The method is not a simple toe transplantation, but to reconstruct a new thumb or finger according to the structure and shape of normal thumb and finger. The tissue materials needed for digit reconstruction come from different parts of the body, and the toe is still retained in the foot with near-normal appearance and function. The concept of "comprehensive reconstruction of thumb and finger" has been thought as the new trend of digit reconstructions recently. This paper introduces the development of "comprehensive reconstruction of thumb and finger" in China, the common basic operation methods and the prospect for the future.