In this issue of Hand Clinics, guest editors Drs. Sandeep Sebastin and Kevin C. Chung bring their considerable expertise to the topic of Problem-Solving in Upper Limb Trauma Reconstruction. Top experts discuss the complexities of reconstructing traumatic upper limb injuries, presenting real-world cases where clinicians encountered significant challenges. Each article highlights a specific problem faced during reconstruction, reviews relevant literature, and offers a detailed, step-by-step approach to overcoming these obstacles.