The Hook-Nail deformity can accompany the flexion deformity of the DIP joint of the finger. In these cases, it is very hard to correct them using only one technique. Therefore, we think that it is better to use the combined technique of composite toe graft and V- Y advancement.This combined technique has been performed in four patients. All the grafts and flaps were viable and all the fingers were more functional and better. No donor-site morbidity has been seen in the follow-up period.