This manual, according to the foreword, is intended to serve as a portable text for the treatment of acute hand injuries. In the preface, the authors state that most books of this type are extremely detailed and heavy in terms of weight and are not easy to use for the evaluation of a complicated hand injury in the middle of the night. However, I am not sure that this book avoids this problem either. There is no doubt that the treating surgeon should know the anatomy of the nerves in the upper extremity, but in an emergency-room setting there is no time to browse through twelve pages on the anatomy and classification of these injuries. Ideally, this chapter would first describe a method of evaluating the patient and making decisions in order to determine the treatment. The discussion of clinical evaluation should have been followed by the two-page description, provided earlier, on the principles and timing of nerve repair. A detailed discussion of nerve-grafting, different types of tendon transfers and their timing, and reflex sympathetic dystrophy is not needed.