I was contacted by an Occupational Therapist about one of her clients that was a flute player and had to have her right index finger amputated. The client wished to continue playing flute, but obviously was going to need some modification to her flute. I recycled a low Eb key, lower joint rib, and Bb key from a donor flute to fabricate a “thumb lever” so she could play F with her right thumb, instead of right index finger. I did also have to modify the case so the flute would fit. Other than soldering on the new key mechanism, no modification was made to her flute, so it could be removed in the future if necessary.