This article presents a combined procedure for carpal tunnel release and fasciectomy in a patient with concurrent carpal tunnel syndrome and Dupuytren’s disease. The video demonstrates key steps including a thenar-crease incision, transverse carpal ligament release under direct vision, and meticulous dissection of diseased fascia from neurovascular bundles in the small and ring fingers. Vessel loops aid nerve protection throughout the procedure. The operation concludes with verification of hemostasis, drain placement, and splinting in extension for postoperative management.