Objective To investigate the clinical effect of ultra-thin pedicle abdominal flap combined with VSD stage Ⅰ debridement in the repair of severe finger soft tissue injury. Methods From March 2019 to March 2020,23 patients with severe finger soft tissue injury in the Department of Burn and Plastic Surgery, Daqing Oilfield General Hospital were selected. All patients were treated with VSD stage I debridement. After the wound was clean, the ultra-thin pedicled abdominal flap was used to repair the fingers with severe soft tissue defects, and the donor site was directly sutured. Results All the 23 fingers in this group survived, and 4 fingers of them had cyanosis due to sleep at night and traction in the upper toilet, they were given partial stitches, dressing change and position adjustment in time, and all improved; 2 fingers due to slightly poor blood supply, given dressing, pedicle extension time of 1 week. The patients were followed up for 1 to 2 years, the appearance and function of the affected fingers were good, there was no obvious swelling, and the functional activities were normal. No secondary repair surgery was needed, and the effect was ideal. Conclusion The application of ultra-thin pedicled abdominal flap combined with VSD stage Ⅰ debridement in the repair of severe finger soft tissue injury is ideal, which can retain the length of the affected finger, restore the function of the affected finger to the greatest extent, and has a good shape. The method is simple and suitable for clinical application.