United States Department of Veterans Affairs

TSGLI Loss Standards

13. Amputation of four Toes on One Foot, or Amputation of Big Toe Only

When a member loses four toes on the same foot or the member loses one big toe, the member is eligibile for a TSGLI benefit for amputation of the toes (or one big toe) if the member meets the following standard:


If the member suffers... Or the member suffers...

Amputation of four toes (not including the big toe) on one foot at or above* the metatarsophalangeal joint

Amputation of big toe at or above* the metatarsophalangeal joint

* The words “at or above” in the standard refers to the loss being closer to the body.

image of toe joints image of bones in foot

MTP = MetaTarsoPhalangeal joint; between the Metatarsal and Proximal Phalanges

IP = InterPhalangeal joint; between the Proximal Phalanges and Distal Phalanges (only on big toe)

PIP = Proximal InterPhalangeal joint; between Proximal Phalanges and Intermediate Phalanges

DIP = Distal InterPhalangeal joint; between Intermediate Phalanges and Distal Phalanges (all toes other than big toe)


Reviewed/Updated Date: April 14, 2023