This client lost her left great toenail as a child resulting in a shortened toe that made her feel self conscious in some shoes. She also had nerve discomfort when the scar was touched. Usually we make our prosthetic nails out of acrylic, which allows the nails to be painted. In this case, there was not enough space for an acrylic nail to be deeply embedded. The nail on the prosthesis pictured is soft and completely made of silicone, yet durable. Her prosthesis acts as a compliant, protective sleeve to soothe the nerve irritation, restore form and length, and give her confidence to wear shoes she likes without worrying about her amputation.