Wrist arthroscopy is a minimally invasive surgical procedure used to both diagnose and treat a wide range of wrist problems that cause persistent pain, stiffness, instability, or limited motion. Because the wrist is a complex joint made up of eight small bones and multiple ligaments, symptoms can sometimes be difficult to diagnose with physical exams or imaging alone. Wrist arthroscopy is often recommended when pain continues despite rest, bracing, injections, or physical therapy, or when imaging studies do not clearly explain a patient’s symptoms. It allows the surgeon to look directly inside the joint and, in many cases, treat the problem during the same procedure. Before surgery, patients typically undergo a thorough evaluation that includes a physical examination, a review of symptoms and medical history, and imaging such as X-rays or MRI scans. On the day of surgery, wrist arthroscopy is usually performed as an outpatient procedure using regional anesthesia to numb the arm, sometimes combined with light sedation. During the procedure, the surgeon makes several very small incisions around the wrist, known as portals. A traction device is commonly used to gently separate the wrist bones, creating space inside the joint for clear visualization. A thin camera (arthroscope) is inserted through one portal, projecting magnified images onto a monitor, while specialized instruments are introduced through other portals to examine or treat the joint. Wrist arthroscopy may be used purely for diagnosis when the source of pain is unclear, or for treatment of specific conditions once identified. Common problems addressed include ligament injuries such as tears of the triangular fibrocartilage complex (TFCC), cartilage damage, inflammation or scar tissue, loose fragments of bone or cartilage, ganglion cysts, and certain wrist fractures. Arthroscopy allows surgeons to smooth damaged cartilage, remove loose bodies, trim or repair torn ligaments, excise ganglion cysts at their source, and assist with fracture alignment while minimizing disruption to surrounding tissues. After surgery, the small incisions are closed with stitches and covered with dressings. Some patients may be placed in a splint temporarily, depending on the procedure performed. Recovery typically begins with elevation of the wrist, icing to control swelling, and keeping the bandages clean and dry for the first few days. Pain is usually mild and manageable with medication. Gentle motion exercises are often started early to prevent stiffness, followed by strengthening as healing progresses. Recovery time varies depending on whether the procedure was diagnostic or involved repairs, but most patients experience faster healing and less pain compared to open wrist surgery. Overall outcomes are favorable, particularly when wrist arthroscopy is used to precisely identify and address the underlying cause of symptoms.