Nerve transfers in the forearm and wrist are devised to restore forearm and wrist function through reinnervation of target muscles. The available nerve transfers for the forearm and wrist are procedures to restore forearm pronation/supination and wrist flexion/extension function. Of these functions, restoration of pronation is the most emphasized within this region. Majority of nerve transfers that assist in wrist flexion/extension can be found in the Hand Section as the muscles targeted for reinnervation cross the wrist for a distal attachment and assist in wrist function. Motor nerve transfers are time sensitive due to muscle atrophy and loss of motor end-plates.