Traumatic fingertip amputations sustain a high incidence on the emergency department. Thumb amputations represent a major challenge, since they must be approached individually, managing the most preservation of the length and recovering the pinch and grip preserving most sensibility possible. Multiple reconstructive options have been described; however, little emphasis has been placed on Atasoy´s V-Y advancement flap for thumb tip reconstruction. Despite the fact that some data does not recommend Atasoy´s Flap for the thumb due to the limited flexibility given by the soft tissues of the pulp, we report 10 cases of traumatic thumb tip amputations Allen ll and lll, where the V-Y advancement flap was used as a reconstructive method, giving optimal results regarding functional aesthetic aspects, as well as adequate sensibility without any further complications. In this article we discuss the thumb´s anatomy, surgical technique and postoperative care manifesting the versatility and simplicity given by the performance of this flap, acknowledging the great therapeutic option this flap provides for thumb tip coverage