In any patient who has suffered a stroke or brain injury resulting Hemiplegia, there are a number of surgical procedures that are available today to augment that function. Patients should be involved in rehabilitation with typical physical and occupational therapy, but once they've achieved the best function they can from that program, they should then consult with a reconstructive surgeon who will help them achieve the next level of function. Typically, a patient can gain a significant degree of independence with reconstructive procedures after hemiplegia. Once a patient has been stabilized and achieve their best recovery independently, the goal of the reconstructive neurosurgeon is to bring them to the next level of independence and functionality that is beyond what they could have recovered independently. In most patients, we can achieve significant independence and patients are usually quite happy with what's accomplished with the reconstructive procedures following hemiplegia.