This report presents two cases of arteriovenous malformation of the finger and toe. In case 1, a diffuse arteriovenous malformation of the second toe was resected completely. As a result of radical resection, blood circulation to the second toe was ablated. To preserve the second toe, vein grafting from the forearm region was performed using a microsurgical technique. Using this procedure, complete preservation of the second toe was performed. In case 2, a diffuse arteriovenous malformation of the middle finger was resected completely and successful reconstruction was performed using a sensate free radial forearm flap transfer. One year after the operation, there has been no recurrence of the disease, and the functional result was acceptable. Radical excision for the arteriovenous malformation was recommended to avoid the recurrence of the disease. We believe that the microsurgical technique, including free flap transfer and vein grafting, enables radical excision and decreases postoperative morbidity.