Minimally invasive procedures involve less dissection, less morbidity, less general anesthesia, and more patient interaction. These factors contribute to decreasing recovery time and improving outcomes for hand patients. Experts on minimally invasive techniques in Dupuytren’s and finger fracture management will discuss how and when to use new alternative therapies. Minimizing rupture, tenolysis and improper transfer tension with tourniquet-free surgery occurs when intraoperative adjustments are made while watching awake patients actively move reconstructed tendons and joints during hand, wrist and forearm surgery. Experts in arthroscopy and Botox therapy share their best tips for simplifying the use of these tools. New advances in pronator syndrome diagnosis and surgery will be demonstrated with video.