Before

In a photo provided by surgeon Dr. Carl P. Valenziano, chairman of surgery at Liberty Health Jersey City Medical Center in Jersey City, N.J., Tirso Furcal shows an extra finger on his right hand in Furcal's village Brisas de los Palemeras, Dominican Republic in June 2004. Furcal, who was born with the sixth finger, as well as an extra toe on each foot, had them removed by Valenziano in an operation Nov. 11, 2004, at Jersey City Medical Center. (AP Photo/Carl Valenziano)

After

Tirso Furcal holds up his hands in the office of Dr. Carl P. Valenziano, on Friday, Nov. 19, 2004. The operation was performed free of charge. (AP Photo/Mike Derer)