Carpal tunnel surgery can usually be done on a day case basis. The operation may be done using an endoscope, a thin flexible telescope that is inserted into a small cut in the wrist. Images are transmitted to a screen, allowing the surgeon to see inside the wrist. In a more traditional, open operation, a longer cut is made in the palm of the hand. The endoscopic repair leaves a smaller scar, and usually allows people to get back to their usual activities more quickly. However, there may be a slightly higher risk of nerve damage with endoscopic carpal tunnel surgery