There has been a significant development in the management of these injuries over the last decades, especially with the advent of microsurgical techniques, and use of magnification, microsutures, and microinstruments. 26 Many advances have been made in the areas of neurobiology of nerve injury and regeneration, and increasing attempts are being made in the use of nerve allografts and nerve conduits for bridging the gaps. 2,13,14,16 Recently introduced nerve transfer techniques selectively neurotize target muscles close to motor endplates and produce early and consistently good results, especially in the management of upper truncal injuries. 3,15,21,32 The management of brachial plexus injuries involves a combination of comprehensive care, cross-specialty consultations, prolonged hours of surgery, and a protracted period of pre-and postoperative physiotherapy. Even then, the results of surgery may not be favorable. 25 Various modalities have been used in the surgical treatment of these devastating injuries, depending on the type of injury. These modalities consist of either neurolysis, or intra/extraplexal nerve transfer (neurotization), with or without a nerve graft. 3,11,12,26,27 Two factors play a major role in functional recovery after the repair of a nerve lesion. 24 The first factor is the number of axons that successfully cross the anastomotic site. On average, approximately 30% of the axons are lost while traveling across one anastomotic site. However, attempts to prevent the axonal loss across the anastomotic methods The entire right-sided brachial plexus of 25 adult male cadavers was dissected, including all 5 spinal nerves (C5-T1), from approximately 5 mm distal to their exit from the intervertebral foramina, to proximal 1 cm of distal branches. All spinal nerves were tagged on the cranial aspect of their circumference using 10-0 nylon suture for orientation. The fascicular dissection of the C5-T1 spinal nerves was performed under microscopic magnification. The area occupied by different nerve fascicles was then expressed as a percentage of the total cross-sectional area of a spinal nerve. results The localization of fascicular groups was fairly consistent in all spinal nerves. Overall, 4% of the plexus supplies the suprascapular nerve, 31% supplies the medial cord (comprising the ulnar nerve and medial root of the median nerve [MN]), 27.2% supplies the lateral cord (comprising the musculocutaneous nerve and lateral root of the MN), and 37.8% supplies the posterior cord (comprising the axillary and radial nerves). coNclusioNs The fascicular dissection and definitive anatomical localization of fascicular groups is feasible in plexal spinal nerves. The knowledge of exact fascicular location might be translatable to the operating room and can be used to anastomose related fascicles in brachial plexus surgery, thereby avoiding the possibility of axonal misrouting and improving the results of plexal reconstruction.