Dupuytren’s contracture surgery is performed to treat progressive tightening of fibrous tissue (fascia) in the palm that pulls one or more fingers into a bent position and prevents them from fully straightening. The condition is caused by abnormal thickening and shortening of the palmar fascia, forming cords that gradually restrict finger extension. Surgery is recommended when the contracture interferes with hand function, such as when the hand can no longer lie flat on a surface or daily tasks like grasping objects, putting the hand in a pocket, or shaking hands become difficult. There are several surgical approaches, chosen based on the severity, extent, and recurrence risk of the disease. The simplest option is a fasciotomy, which involves cutting or dividing the cord to release tension. This may be done percutaneously with a needle or through a small incision and allows immediate straightening, but it has a higher recurrence rate because the diseased tissue remains. A partial fasciectomy is more commonly performed and involves surgically removing the affected fascia through an incision in the palm, offering longer-lasting correction and improved hand function. In more advanced cases, a regional fasciectomy removes the entire cord through a longer incision for a more complete release. The most extensive procedure, dermofasciectomy, removes both the diseased fascia and overlying skin and requires a skin graft, typically taken from the forearm. This approach is used for severe, recurrent, or long-standing contractures and has the lowest recurrence rate but requires a longer recovery. Dupuytren’s surgery may be performed under local, regional, or general anesthesia depending on the procedure and patient factors. The operation typically lasts between 30 minutes and 2 hours. In milder cases, patients are discharged the same day. After surgery, the hand is usually bandaged or placed in a splint to protect the repair and maintain finger extension. Pain, swelling, and stiffness are common initially, and keeping the hand elevated helps reduce swelling. Rehabilitation is a critical part of recovery. Hand therapy begins soon after surgery and focuses on restoring finger motion, improving strength, and minimizing scar formation. Patients are guided through stretching and strengthening exercises and may need to wear a night splint for several weeks. While many patients regain useful finger motion within 4 to 6 weeks, full recovery can take up to 12 weeks or longer, especially after more extensive procedures. Although surgery does not cure Dupuytren’s disease and recurrence is possible, it typically provides significant and lasting improvement in hand function and quality of life.