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Ganglions are common soft tissue masses of the hand. High recurrence rates are associated with nonsurgical treatment; thus, excision is often indicated. Arthroscopic excision and open excision have similar recurrence rates; however, the latter is associated with prolonged healing time and increased scarring. Recently, dry wrist arthroscopic techniques have been used. This technique allows easier confirmation of complete ganglion removal, easier conversion to open surgery, earlier return of motion, and stitch-less closure when compared with traditional "wet" arthroscopic excision. 3 Recently dry wrist arthroscopic techniques have been described. 4,5 This technique may be employed to remove ganglions. Dry wrist arthroscopy has several advantages over standard the "wet" technique due to avoidance of fluid extravasation and associated swelling: (1) easier visualization and palpation of the ganglion during surgical removal allowing for more accurate confirmation of complete removal, (2) easier conversion to open surgery if arthroscopic removal fails, (3) faster rehabilitation and return of motion, and (4) stitchless closure (steri strips are adequate) allowing for reduced scarring and improved cosmesis.We present our technique for dry arthroscopic wrist ganglionectomy.