Ganglions are the most common tumor-like conditions in the hand and wrist. These usually arise from a pedicle in tendon sheath or joint capsule and are located over scapholunate ligament. About 60-70% ganglion cysts are found on dorsal aspect of the wrist. Ganglions are more prevalent in women, and generally seen from the second decades through fourth decades of life. Patients usually seek medical treatment because of the mass, pain, weakness, or fear of a malignancy. 1,2 Westbrook et al 3 conducted a study on 50 patients with ganglion cysts and found the following reasons for treatment: 36% for cosmetic appearance, 28% for malignancy, 26% for pain, and 8% for abnormal function.There are varieties of modalities for treatment of ganglion cysts. These are observation, aspiration, intralesional steroid injection, sclerotherapy, arthroscopic resection, or surgical excision, but no one of these has been the standard or best treatment. 4 Aspiration may provide long term relief and has been reported to be effective in 20-30% of the patients. 2 Sclerotherapy involves aspiration of the cyst followed by injection of a sclerosant solution into the cyst cavity.5 Surgical excision is best reserved for patients with persistent symptomatic ganglions.