72 cases of thumb amputation and replantation were studied, 50% of which resulted from saw injuries and 20% from avulsions. 64 (88,9%) of the thumbs survived. The functional results in 52 available for review show that 95% achieved a good or satisfactory result. This demonstrates clearly that a thumb amputation is always an absolute indication for a replantation. In a multiple amputation case, where the thumb is destroyed or absent one should do a primary finger transfer. In such cases also we achieved similar good results.