Background: Syndactyly is the fusion of two or more digits to each other due to a failure of differentiation or separation. It is the second most common congenital anomaly of the upper limb. Incidence of approximately one in 2000 - 3000 births. The purpose of our study is to analyse the clinical and anatomical features of congenital syndactyly. Methods and Material: This retrospective study comprised patients who were admitted to the Department of Plastic and Reconstructive Surgery, GMCH, Guwahati, with congenital syndactyly for a period of 20 months. After receiving ethical committee approval, the clinical records and clinical photographs of the patients were gathered from the Medical Records Department and the departmental records of the Department of Plastic and Reconstructive Surgery. Results: A total of 12 patients with congenital syndactyly were studied. Our analysis showed a predominance of male cases, the frequent presence of bilateral and symmetric cases, and the third space is commonly affected. Three patients had Apert syndrome. The associated malformations in four cases were brachydactyly and polydactyly. Conclusions: The study is supported by the results, which are substantially similar to those reported in the literature. Our study now helps us understand this condition better.