With the advent of microsurgery indications for pollicization of the index finger have decreased. Pollicization, however still, remains a useful technique for thumb
reconstruction. We present a case of patient successfully managed by pollicization procedure with good surgical outcome in a secondary level facility. A forty five year old female patient presented with a one year history of post traumatic amputation of the left thumb. The level of amputation was about 1cm distal to carpal metacarpal joint. Heterotopic transplantation of the index finger was done with index finger proximal phalanx fixed to the thumb metacarpal stump with k wires.Post-operative evaluation at one year of follow up showed good functional outcome. In conclusions, pollicization as demonstrated in this case remains an elegant reconstructive tool in the plastic surgeon’s armamentarium for addressing reconstructive challenges posed by proximal traumatic thumb amputations.