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Patients were instructed to take care of the operated hand during the recovery phase. Institutional physiotherapy protocol was started during the 3 postoperative week. Follow-up period was between 1 and 3 years. All the six patients were free from symptoms postoperatively. Minimal complications were noted in two patients, which were managed conservatively. Surgical excision of fibrolipomatous hamartoma of median nerve below elbow, with nerve dissection or with nerve reconstruction using sural nerve graft, followed by p