For the orthopedist, the design and execution of surgical procedures requires a thorough understanding of anatomy. The goal of this article is to provide an overview of the pertinent surgical anatomy of the wrist and elbow. Operative techniques improve with advancing technologic breakthroughs and greater understanding of anatomy. Today's orthopedic surgeon is required to remain current on this expanding information base; this information will allow for a better understanding of common and overuse injuries of the wrist, forearm, and elbow.