Polydactyl is a deformity where the hands and feet grow extra digits. Some causes of polydactyl are unknown, whereas others are family oriented. This can be detected in-utero or at the time of birth. It is recommended that the procedure be done when the child is in their infant stages. This prevents any further growth of the extra digit. Treatment options consist of surgically excising the extra digit. This procedure can be done in an office based setting depending on the size of the stalk that is feeding the extra digit. If the stalk is larger than usual it is necessary to have the excisional procedure done in a hospital based setting. The patient will have sutures applied to close the skin flaps.