A licenced and experienced orthopedist will determine whether surgery is necessary to treat your wrist injury. While wrist surgery is typically a last resort, it can be necessary to restore functionality to your hand and wrist – especially if non-surgical remedies haven’t yielded results.   The most common wrist surgeries are: Carpal tunnel release: In this procedure, the transverse carpal ligament is cut, decreasing pressure on the compressed nerve which improves the symptoms associated with carpal tunnel.  Fracture care: If your wrist has sustained a fracture, surgical pinning may be required to keep the bone in place so that it can heal properly. Ligament repair: If your ligament is torn or severely sprained, an orthopedist may need to surgically reconnect the ligament to the bone. This may include using pins to ensure the bones align properly while the torn ligament heals. Ligament reconstruction: If you sustained ligament injury in the past that went untreated, reconstruction may necessary to heal the injury. This is done using a graft from a less used segment of wrist tendon, and then inserting pins to hold the wrist bones in place as the newly grafted segment heals. Fusion: For those suffering from arthritis or wrist instability, two or more wrist bones can be surgically fused together to lessen or completely alleviate pain.