PURPOSE: – To study the epidemiology of hand surgery cases in Indian scenario.

METHODS: – Retrospective study of hand surgery cases operated in the year 2015–2016 at a tertiary centre in India and the cases were further sub classified into 9 types and the age and sex distribution was estimated.

RESULTS: – A total of 2060 cases were operated in the year 2015–2016, which were sub classified into 9 categories. Fracture fixation and tendon injuries alone constituted around 55% of cases followed by nerve affections, plastic procedures, deformity correction, tumors, congenital anomalies, miscellaneous cases and infections. Hand injuries and affections mostly inflicted socio – economic morbidity to the youngest population (up to 96% patients were <60 years) and 77.98% were males.

CONCLUSION: – The study clearly underlines the importance and need of delivery of adequate hand surgery services in a developing country like India to mitigate the social and economic effects of hand affections.