Kuala Lumpur, Malaysia, hosted the 2014 triennial APFSSH congress in October. This well-organized meeting attracted many participants and several authorities in hand surgery. A novel attention was paid on the relatively under-utilized field of tetraplegia hand surgery. Hence, Professors Caroline Leclercq and Jan Fridén had a "Meet the Experts" session about strategies for reconstruction. They demonstrated clinical assessments live on spinal cord injured patients with tetraplegia and gave their expert opinions on how to improve hand function. Further, Jan Fridén gave an invited lecture on "Upper Limb Reconstructive Surgery in Tetraplegia" and another lecture on "Tendon Transfer Surgery". Taken together this congress gave a boost to the awareness of the opportunities to restore hand control in tetraplegic individuals.