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This article originally ran on my spcOnline site twenty-two years ago, from a gentleman with apotemnophilia (1). 

One of my main regrets concerning my earliest contributions to BME was the lack of context; we'd post images without much in the way of explanations, which led to modifications that had their own specific subsets being folded into the larger "modification" community we were creating. Before BME/SPC, almost all of the voluntary amputees I knew were fetishists; the removal of a finger or toe was totemic for their kink- it was easier to remove them than a leg, hand, or arm so rubbing the nub of a removed finger abated the need for more risky and larger removals, at least temporarily. 

You can imagine my horror, at the third Modcon event (2001?) when a young woman came up to show me her self done amputation; she'd called it a "Yakuza" and, having seen the photos of small digit amputees that we'd posted, added amputation to her checklist of modifications; a tattoo here, a scarification and suspension there, and ultimately a finger removal to make sure she had one of everything. 

On my SPC site I tried to get the folks who were doing these more extreme things before our sites existed to add context to their decisions and modifications, like Four Fingered Joe.

This is his story:

Revision.

At a very early age, I found myself thinking about what would it be to have a finger missing, and I use to tie my fingers back and even at the time glue them down.

When I turned 16, I could no longer do that cause I had a job and did not have the time to play with my hands, so I decided that I would go for the real thing. So one evening as I was helping my manager close the store where I worked at, I closed the gate on my index finger and it just came right off, very little blood until I saw my hand then the blood began to really come out. Well, that night I became a finger amputee, and the feeling was, this is right. I knew then that my desirers were not false, these were true feelings, this is the way I am supposed to be. My family just saw it as an accident, and that was fine they were upset and I had to play the roll.

Controlled Situation.

   A few years later, I still wanted more but I wanted to do my own, in a controlled situation, where I knew how long, how much bone to clip how to stitch so on and so on. So I did some homework and at the age of 22 I did my middle, ring and thumb.

    I know that to some this is not what is call NORMAL, But this to me is as right as anything anybody would want. Some people want Large Breasts, Some Men Want to be Women, Some Women Want to be Men, and there is nothing wrong with that. Why? Cause from birth this is the way they feel and this feels right. And so is this for me. Unfortunately you can't go to a hospital and say I would like to have these 2 fingers taken off and get it done. So I do them my self. But there is a safe way of doing it and you really need to find out how it is done with as little loss of blood as possible and I do recommend that if you are going to do something like this, make sure you are ready.

The Right Tools.

1. Need to have all the right tools.

2. Everything should be sterilized

3. Practice on something other than your self. or someone else.

4. Numbing the finger would be best. there are many ways, choose what you feel is right for you.

5. Get sutures to close the wound to avoid infection.

6. If possible in case anything goes wrong, make sure you know where the nearest hospital is, and then have a good plan for what has happened cause you will get arrested or even put into the LOONY bin, and we know that we are not crazy.

7. Most important, if in any way you can, please, please, please make sure you have ANTIBIOTICS because if you should get an infection, how will you explain the missing finger or fingers and the stitches.

But most of all if all, what you really wanted was a finger or two gone and you get an infection you could wind up with an arm amputation, and it may not be what you had in mind.

They don't grow back.

Yes, I have finger amputations and yes I enjoy each and every one of them, because this is the way I feel my hands should look like and feel like.

Like anything in life look before you leap, I know of several whom have amputated a finger then after it was done, THEY WISHED THEY NEVER DID.

So be sure cause to tell you the truth, they don't grow back. 

1. "The syndrome of apotemnophilia, body integrity or amputee identity disorder, is defined as the desire for amputation of a healthy limb, and may be accompanied by behaviour of pretending to be an amputee and sometimes, but not necessarily, by sexual arousal."

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saul g

Wow I remember reading this on spc. Worth a reread too.