The mirror foot is a rare, congenital defect characterized by a mirror image of polydactyly. Due to a small number of cases and rarity of this condition, the definitions and classifications are incomplete. This report provides description of the treatment of patient hadeight fingers and eight metatarsal bones in his right foot with normal crus bones. A positive result of treatment was achieved with surgical treatment by removing the three middle fingers along with the metatarsal bones and bringing the first and fifth radii of the foot closer. One year after surgery, the appearance and function of the foot are normal, and the child is wearing standard footwear. There are no clear guidelines for treatment of mirror foot. In the case of proper tibia and fibula, resection of the excess radii of the foot is recommended, starting with the hypoplastic radii.