Macrodactyly is a congenital disease where the digits affected increase in size faster than can be attributed to normal growth of unaffected digits. Its etiology is ambiguous and hereditary patterns do not play a role. The abnormality develops in one or more toes and involves thickening of soft tissues, bone and accumulation of fat. The accepted treatment is reduction of the fibro-fatty bulk via dissection and ablation; the major aim being reconstruction of a pain-free functioning foot. Complications with surgery include delayed wound healing and inadequate initial de-fatting which could require a more proximal amputation.