Technologies are generally described for a punch tool and method of use. In an example, the punch tool may include a malleable shaft and a finger grip body configured to encompass at least part of a shaft of a finger button. The finger grip body may be connected to a first end of the malleable shaft. The malleable shaft may be adjustable to a particular conformation and to maintain the particular conformation during use of the punch tool. A second end of the malleable shaft may be connected to an anvil. The shaft of the finger button may be connected to a first end of a flexible body member. The flexible body member may be adapted to move over the malleable shaft, the movement conforming to the particular conformation of the malleable shaft. A cutter may be operatively connected to a second end of the flexible body member.
