Raizman NM, et al. - All children who underwent free, nonvascularized toe phalanx transfer (a well-established technique for addressing bony deficiency in the reconstruction of hypoplastic digits in patients with congenital differences of the hand) to the hand from 2001 to 2011 were recognized by the experts in order to assess donor-site morbidity following toe phalanx harvest using validated outcome measures. Thirty-six subjects with 83 toe phalanx transfers were recruited. The results of the Oxford Ankle Foot Questionnaire for Children demonstrated mean scores of 99.96% (physical), 100% (school and play), and 96.01% (emotional). The Foot and Ankle Ability Measure exhibited mean scores of 99.08% (sports) and 99.17% (activities of daily living). During the study period, no lower extremity complications were noticed. Hence, this study illustrated that toe phalanx harvest led to almost no measurable lower extremity morbidity or dysfunction over the mid- to long-term, in comparison with varying degrees of donor-site morbidity stated in the current literature.