Hand wounds represent a major problem in regard of the number of patients as well as the economic burden associated with it. The close relationship of the different anatomical structures increase the probability of involvement of multiple structures, which require a multidisciplinary approach. Paucity of clinical signs of certain lesions render surgical exploration necessary. Regarding replantation, multiple factors need to be taken into consideration, principally the condition of the amputated part, which is influenced by the trauma but also by the initial care applied to the severed part. Transfer delay to a specialized center should be minimize.