This is a preliminary report outlining an endoscopic technique to release the carpal ligament employing current arthroscopic methods. The technique has been used successfully on 62 hands in 46 patients with no known complications. In some cases, the follow-up period has been rather short. Based on our results, however, there has been rapid recovery with decreased scarring and postoperative pain and no loss of grip or pinch strength, which is sometimes seen with the conventional method of carpal ligament release.