I have had clubbing for quite some time. My clubbing was always moderate and became severe around my freshman year of high school. Very noticeable in my situation. Especially my toes. My clubbing has improved significantly since my transplant. My doctors always comment on the difference. For some reason, it is still pretty severe in my toes. but it is what it is. I used to be self-conscious about it but now I don't care. I do find though that I usually like to keep my fingernails and toenails cut very short so that they appear to be less "curvy"