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We provide a patient with a BCC on the remaining very first toe. Medically, it appeared as a brown-colored plaque with an irregular edge regarding the nail fold and dorsum regarding the remaining thumb. Histopathological conclusions had been consistent with the pigmented types of BCC. Medical approach with subsequent complete depth mesh graft resulted in a whole remission. Follow-up at 10 months revealed a functionally and cosmetically acceptable outcome. The clinical presentat