In this picture, the extraordinary accuracy demanded in orthopaedic hand surgery is seen. The surgeon is using an operating microscope to do the microsurgical repair of the delicate structures such as flexor tendons or digital nerves which can be smaller than one millimetre in diameter. Each suture has to be fitted with meticulous precision that is meant to reinstate gliding smoothness to the tendons or reassemble nerve axons to initiate the recovery of nerve sensation and motor control. It is a very specialisation area that deals with traumatic injuries, degenerative ailments such as arthritis and nerve compression such as carpal tunnel syndrome. It is aimed at restoring the multifaceted biomechanics of the hand, retaining the delicate motor skills needed in day-to-day activities, occupations, and self-expression, which constitutes one of the most highly disciplined branches of orthopaedics.