In this case report, we present a three year old boy who suffered an amputation of his left index finger at the level of the nail base (proximal zone I) caused by a scissor cut. Following referral to a center with hand surgical and pediatric care, successful replantation was achieved and postoperative pediatric care ensured finger perfusion. Three months postop, the reconstructed finger was in normal daily use with full function. Our success encourages for initial replantation of digits in infants in any case and irrespective of the level of amputation. Optimal results in these patients can only be achieved by interdisciplinary care of hand surgeons and pediatricians.