In this issue of Hand Clinics, guest editors Drs. Nina Suh and Kevin C. Chung bring their considerable expertise to the topic of Hand and Wrist Arthritis in the Young Patient: Options, Considerations, and Technical Tricks. Wrist arthritis in young patients is one of the most challenging and controversial pathologies in the field of hand surgery, particularly in patients with high-demand recreational and professional activities. In this issue, top experts review treatment considerations in these young, high-demand patients, including the critical preoperative decision of which joints are spared.