Objective To investigate the clinical value of microsurgery without shortening phalanx in replantation of terminal amputated finger. Methods From March 2021 to March 2023, 67 patients with terminal amputated finger in our hospital were randomly divided into conventional surgery group (n=33) and microsurgery group (n=34). The conventional surgery group was treated with conventional stump trimming, and the microsurgery group was treated with microsurgery without shortening the phalanx. The clinical efficacy, pain degree, quality of life, function of severed finger joint, complications and treatment satisfaction were compared between the two groups. Results The excellent and good rate of treatment in the microsurgical group was 91.18%, which was higher than 54.55% in the conventional surgery group (P