Founded in 1970, the Buncke Clinic has remained a fixture at the Davies Campus of California Pacific Medical Center in San Francisco, CA. Despite being housed in a small, community-based hospital, the clinic has served as a tertiary referral center for complex plastic, hand, and reconstructive microsurgical cases for over half a century. The clinic's philosophy on patient care is built around a team approach with its foundation in the camaraderie and expertise of our six teaching faculty. Our breadth of clinical practice is centered around microsurgical reconstruction, particularly of the hand and upper extremity. Despite being primarily hand surgeons, each of our faculty has a distinct clinical interest beyond surgery of the hand. These areas of clinical expertise are reflected in manuscripts contained within this issue of Seminars in Plastic Surgery.

The concept behind each of these manuscripts was to elucidate these subspecialties with a practical focus. The idea being to provide a “how we do it” guide rather than a litany of prior studies and citations. Each of these manuscripts, while informed by the available literature, is more a reflection of years and in many cases decades of experience performing these complex reconstructive operations.

It has been my distinct pleasure to work compiling this fund of living knowledge. It is my hope that surgeons from novice to expert will find something of value in this edition.

Article published online:
19 December 2022

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