We have reported the cases of vascularized nail flap transfer with a short pedicle fashion. We consider that reconstruction of fingers should be conducted positively, even in the case of the nail defect, except the thumb. Because these operations are aimed at aesthetic improvement, reconstruction with a short pedicle fashion seems to be the method worth employing because it leaves short skin incisions. The final goal of nail surgery is for the patients to use the reconstructed finger in public. To achieve this goal, we must keep in our mind the aesthetic considerations in nail surgery.