1965 marks the year Japanese surgeons Tamai and Komatsu performed a successful replantation of completely severed thumb. A 28-year-old male’s sharply amputated thumb at the metacarpal phalangeal joint was replanted after a 4.5-hour surgery. The two arteries and two veins were anastomosed with 8-0 monofilament nylon and 7-0 braided silk suture. The patient subsequently remained in hospital for 40 days and returned to work 4 months later. The triumph of this surgery spread worldwide sparking an interested in microsurgical finger replantation. Severed fingers are now being routinely reattached at hospital world by experienced hand surgeons. Outcomes based on survival rate of replanted digit are variable dependent on which finger was amputated, time of ischemia of amputated digit, flexor zone in which amputation occurred, mechanism of injury and number of digits replanted in a single instance. The main complication of replantation failure is due to either arterial thrombosis or venous insuffiency. Long term adverse outcomes of replantation can include lack of function, sensation, and ongoing pain. The success of digital replantation can be debated even in modern day medicine. Previous outcomes were measured based on survival rates of the amputated finger as opposed to functional outcomes post-operatively. The includes grip strength, sensation, and range of motion of the affected digit. Further multicentre studies are needed to analyse viability of finger replantation surgeries in terms of functional outcomes to determine if it really is worth it.