Patients that fail conservative treatments typically are candidates for surgical intervention. Surgery is outpatient and usually can be done under a local anesthetic. The goal of the surgery is to widen the tunnel so that the tendon doesn’t get caught as it moves the finger. This is done through an incision that’s about a centimeter long right in the mid palm, so the incision is actually very small. The surgery typically takes between five and 15 minutes, and usually it’s very safe. Because of the anatomy of the hand, surgery is usually pretty straightforward. The thumb poses a little bit different anatomy, and so the thumb takes a little bit longer as far as the surgery goes. Most patients are kept without general anesthesia during the procedure, and they’re given just some light sedation. The skin is closed with two or three sutures, which can be taken out in about 10 to 14 days.