Pollicization is a hand surgery technique which substitutes a functioning finger for a deficient thumb. The most common indication is thumb hypoplasia with absence or instability of the carpometacarpal joint. However, there are additional causes that may negate thumb function, such as trauma, macrodactyly , multi–fingered hand and a mirror hand.  We present a rare case of 14 year old male with a traumatic loss of left thumb and loss of index finger extensors, 4 years back in a crush injury. Index finger was pollicized & extensor tendons were reconstructed improving the function and aesthetics of the hand