A Quebec man suffering from body integrity identity disorder (BIID) asked a doctor to remove the fourth and fifth fingers on his left hand because he felt they didn’t belong on his body.

Dr. Nadia Nadeau from the Department of Psychiatry at Université Laval recently published a case report about an unnamed patient who had been experiencing traumatizing thoughts that the last two fingers on his left hand didn’t belong on his body since childhood. Throughout his life, these thoughts caused him pain, constant irritability, impaired dexterity, and vivid nightmares that the two fingers were rotting or burning. Although the patient did not share his distress about his fingers with his family out of embarrassment, he often fantasized about having them removed himself.