At the recent NoSCoS congress held in Göteborg, Sweden one of the days was dedicated to the theme "What could be done"? The field "Hand Surgery" had a major exposure. In the morning there was a plenar session regarding reconstructive hand surgery focusing on an overview of Tetra Hand surgery, update on rehabilitation methods and outcomes, spasticity-reducing hand surgery and recent advance in tetrahand surgery . After lunch, the hand surgery theme continued in a workshop where three cases were discussed. Participants were able to talk with and examine patients who had undergone surgery and post-operative training, others who were relatively newly injured and not yet operated as well as one patient who just had had a triceps reconstruction. The session ended with a fruitful panel discussion among patients and caregivers. Next day included an open session in cooperation with European Spinal Cord Injured Federation (ESCIF) for interested. This well-attended session addressed "Hand Surgery - a way to increase independence".