Reconstructive and hand surgery covers a different world than cosmetic work, even though many practices offer both. This category includes repair after trauma or cancer surgery (breast reconstruction, skin cancer excision and closure, scar revision), congenital corrections, and hand and upper limb procedures such as carpal tunnel release, trigger finger, Dupuytren's contracture, tendon repair, and nerve injuries. Some of it is elective in timing but medically necessary in nature, which changes how it's billed, who refers you, and what "good results" actually means.
What to look for in a surgeon
Training matters more here than in most cosmetic categories. Hand surgery is often practiced by plastic surgeons or orthopedic surgeons who've done a dedicated hand fellowship, so ask directly about that background. For reconstructive cases tied to cancer or trauma, check whether the surgeon works closely with your oncologist, GP, or the hospital team that handled your original injury or diagnosis, since coordinated care tends to produce smoother recoveries. Ask about their volume with your specific procedure, expected recovery timeline, and what a realistic functional or cosmetic outcome looks like for someone in your situation.
How we score these listings
Our rankings weigh credentials, patient feedback, transparency around consultations and follow-up care, and how clearly a practice communicates what a procedure involves. The full breakdown of criteria is on our methodology page. For a ranked comparison of all plastic surgeons in the area, including this category, see our best plastic surgeons in Kitchener guide.