British goldsmith Annette Gabbedey has been crafting custom jewelry and setting precious gems for 24 years, despite the fact that she was born without fingers. The "about" page at her business site doesn't even mention the lack of fingers, but as you can see from the picture, she doesn't hide it.
Gabbedey doesn't consider herself disabled, just different. She doesn't use special tools, but has her own method of using regular jeweler's tools, like setting the piece she's working on in a vice, and keeping a strap around her wrist to set a tool into. Gabbedey says fingers would just get in her way! See more pictures here. -via Arbroath