This document provides an overview of nerve repair principles and surgery. It outlines the objectives of discussing nerve injury indications for surgery, timing for surgery, preparing the patient and nerve bed, and required apparatus and instruments. Reasons for operating on an injured nerve include high likelihood of nerve transection or poor progression. Timing of repair is important, with earlier generally better. Considerations before surgery include life/limb salvage, infection control, joint mobility, and bed preparation. Required equipment includes loupes, microscopes, bipolar cautery, microsurgical instruments, microsutures, and training.