The UCSF Hand, Upper Extremity and Microvascular Surgery Center team diagnoses and treats conditions affecting the fingertips to the elbow. Our orthopedic surgeons have vast experience working with the tiny components of the hands, fingers and forearms and collaborate to produce optimal results for patients. Microvascular surgery — which involves operating on the tiny veins and arteries that bring sustaining blood to the hands — is just one of the state-of-the-art treatments we offer.