Surgery can sometimes be one method of treating the complications of scleroderma. This can include
Amputation. If finger ulcers caused by severe Raynaud's disease have developed gangrene, amputation may be necessary.
Organ transplants - Lungs - People who have developed high blood pressure in the arteries to their lungs (pulmonary hypertension) may be candidates for lung transplants.
Red spots or lines. Laser surgery can reduce the appearance of red spots or lines caused by swollen blood vessels near the surface of the skin.
Botox can sometimes be used with scleroderma. Below Prof Peter Butler discusses this method.