The classic microsurgical technique was executed at 149 patients. (A three-centimeter longitudinal incision, which was never extended beyond the distal crease of wrist. At twenty-one patients, the double-incision technique was performed [a small transverse incision at the wrist’s distal crease, &
a short longitudinal incision five centimeters away from the distal crease of wrist). While in 20 patients we decompressed the C.T. from just one small transverse incision at the wrist’s distal crease. It was possible to follow up, with clinical findings and repeated EMS, only sixty of them. All operations were executed under local anesthesia and loupes were always used. The cases that we operated on are of medium and of advanced severity of chronic carpal tunnel syndrome, while, according to the neurologist, at least five cases were acute. The first follow-up was done on the 2nd or 3rd postoperative day. The patients’ positive assertions that numbness – tingling and nocturnal pain that used to jolt them awake at night were cured were of a great importance. After the sixth postoperative month, a new EMG study was performed, at the patient’s convenience. A questionnaire was given to the patient to answer.