Tendon transfers may help restore function in patients with radial, median, or ulnar nerve deficits when nerve repair is not feasible or fails. For a tendon transfer to be successful, the patient must have an adequate scaffold on which to work, including bony stability and healed soft tissue. Joints must be supple, and protective sensation is important, as a lack of sensation will limit the functionality of the final product. The goals of tendon transfers for radial nerve deficits include restoring extension of the wrist and fingers. In median nerve palsies, the goal of surgery is to restore thumb opposition, or pronation and finger flexion in higher injuries. For ulnar nerve deficits, the goals are to correct clawing, improve thumb pinch, and restore normal finger flexion.