It is common for both professional and amateur musicians to seek the advice of a hand surgeon. Musicians tend to put their hands under a great deal of strain, with each finger being pushed to the limit. This regular overstraining, coupled with excessive practice times, makes musicians’ hands especially susceptible to problems. In addition, musicians are often worried that even the smallest reduction of function would mean they are no longer able to practise their profession. The alleviation of these concerns is part of the hand surgical treatment. Where possible, treatment should be conservative, and surgery should only be carried out when conservative treatment does not lead to a significant improvement. The treatment of musicians’ hands should be carried out by a competent musicians’ medicine specialist, if necessary, together with a hand surgeon with experience in this field. Prof. Sauerbier has years of experience in the consultation and treatment of musicians with hand problems.