The increasing number of trauma cases has decreased the operative time and skilled assistance allotted to each surgery. Therefore, most hand surgeons throughout the world are required to perform solo surgery in emergency procedure rooms or as daycare surgical procedures [
1]. Hand surgeons face major problems, including hand positioning, retraction of the skin flaps, and the need to hold other fingers away from the operated-upon areas. A few sophisticated commercial self-retaining hand retractor systems are available on the market, such as various lead hands and HandStand (Hand Surgery Stand, Metairie, LA, USA) [
2-
4], but these systems are expensive, heavy, and not easily available, especially to trainee residents learning to perform hand surgery. Many hand surgeons have created innovations in the past to address this problem with limited success, such as self-retaining hand retractors using fishhooks [
5], malleable retractors, and stands [
4,
6]. Furthermore, the commercially available hand retractor systems have some drawbacks that restrict their use; for example, the lead hand and its variations, which are commonly used at many centers, neither provide elevation nor have a provision for the retraction of skin flaps. These instruments also lack the do-it-yourself (DIY) type of freedom. These problems, which we encountered while performing hand surgery, motivated us to devise a solution that can be easily made with the spare materials available in the operating theatre to simultaneously address all the above issues.