The "Hand Smackdown" is a college bowl type competition between two competing groups. This year it's men vs. women! Approximately 45 minutes before the symposium, five difficult hand surgery cases in areas of Congenital, Trauma, Reconstructive, and Wrist will be exchanged in addition to one "wild card" topic. The captains will then assign five team members each to a case to discuss during the symposium. At the beginning of the symposium, each team enters the arena and the emcee will introduce the teams. Management of each case will be discussed for a total of 3 minutes allowing for a 60 second case introduction by Team 1, a 90 second discussion by Team 2, and a 30 second rebuttal by team 1. At the end of all the presentations the audience will decide which team overall best managed their cases. After voting is complete, Dr. Strauch will announce the winner and will issue a challenge for a new hand group to take on the winner at the 68th ASSH Annual Meeting next year in San Francisco.