Bahamian patients often travel to Miami to undergo endoscopic release of the median nerve since in the Caribbean nations, the procedure is currently done via an open incision with is much more painful, takes longer to recover and may require rehabilitation. We have good relationships with therapists in Nassau, Freeport etc but fortunately, most patients with carpal tunnel release require no formal therapy and have complete relief of their painful numbness. Procedure is done with local anesthesia requires only a 3 day stay in Miami (Doral) and patients can use the hand immediately.