This case is of a zone 2 flexor tendon repair for flexor tendon injury in a little finger. The attending surgeon presents a repair with a 4-0 Ethibond suture with a modified Kessler stitch which resulted in an 8-core strand repair. The procedure was done under Wide Awake Local Anesthesia No Tourniquet (WALANT) protocol which among other strengths allows the surgeon to test the repair and set post-rehabilitation expectations for the patient. The procedure starts with a Brunner incision and is closed with 5-0 chromic suture in a horizontal mattress fashion. After closure, a dorsal extension block plaster splint was applied. The indication for this surgery was to restore little finger flexion at the Distal Interphalangeal Joint (DIP). Finger flexor tendons include the Flexor Digitorum Superficialis (FDS) and Flexor digitorum Profundis (FDP). Common causes of zone 2 flexor tendon injuries include superficial and deep lacerations to the volar aspect of the hand, crush injuries, and saw blade cuts. Early surgical repair is the definitive treatment for greater than 60% rupture of tendon. Post-operatively, patients undergo active extension – passive flexion to achieve functional gliding of the tendon. Patients can expect to return to light activities after 6 to 8 weeks and resume heavy activities around 10 to 12 weeks.