If your doctor has recommended surgery, it’s important to understand what that entails. You should have a long discussion about the surgical options, the procedure, the risks associated with this and the recovery. Surgery typically entails either going into break up the continuation of the cord from the palm into the finger to allow straightening of the finger, or actually removing all of the abnormal collagen from the finger and the hand to straighten it. That latter procedure is called fasciaectomy. The fascia is the structure that’s involved in Dupuytren’s disease, and in this surgical procedure, we go in and remove all of that abnormal fascia. The skin is also managed to reorganize the directionality of the skin to minimize tension in the longitudinal direction and allow tension-free extension of the finger after the surgical procedure. The surgery is typically performed by a hand surgeon and is performed on an outpatient basis. Patients usually do not require hospitalization after this surgery.