If non-surgical carpal tunnel syndrome treatment options have failed, then it may be time to consider surgery. Carpal tunnel release surgery is usually a fairly simple procedure. It is performed by an orthopaedic surgeon using a local anaesthetic, and there is no need to spend the night in a hospital. Once the local aesthetic sets in, the surgeon will make a cut at the base of the palm of the hand, exposing the transverse carpal ligament. The transverse carpal ligament is the flexible cord that connects the bones of your wrist to the bones of your hand. This cut releases the pressure on the median nerve, which is the large nerve that runs through your arm into much of your hand. The pressure that is relieved with this cut is what causes the painful and damaging symptoms of CTS. At this point, the incision where the surgeon first entered the hand will be stitched up, and left to heal.