Carpal tunnel syndrome (CTS) is a common affliction of the upper extremity with the classic symptoms of numbness in the radial three and one-half digits, and pain often secondary to repetitive motions. The 1990s have seen a surge in the incidence of CTS, possibly because of increased awareness, recognition, or an increased prevalence of repetitive motion-type disorders. Furthermore, with the increasing use of computers, more people are sitting at keyboards entering text and data, which may lead to more cases of CTS. Recently, the technique of endoscopic carpal tunnel release has gained increased notoriety. The reported benefits include decreased surgical time, decreased postoperative attention, early return to work, diminished pillar pain, and increased thenar strength.