Dupuytren's contracture can be classified in simple and difficult cases. More complex cases should be treated in a dedicated Hand Unit, while simple contractures should be treated by rural surgeons. The procedure is best done with a tourniquet in place and involves reflection of the skin flaps on top of the contracture as well as resection of the Dupuytren's tissue working from proximal to distal. After primary closure of the wound it may be helpful to immobilise the hand in a volar backslab for a few days after surgery. Sutures should be removed at 11-12 days after surgery.