Patients who undergo open carpal tunnel surgery frequently complain of the postoperative cosmetic appearance at the site of the incision on the palm. This problem occurs as a result of excessive scar formation, and the long incision. A double mini skin incision, each 1 cm long, was used in the surgical treatment of carpal tunnel syndrome. The transverse carpal ligament was easily sectioned. Postoperatively healing was good with no excessive scar formation.