Brachial plexus injuries (BPI) affect up to 1% of those presenting to community trauma centers. [1], [2], [3] There is variability in the nature of the clinical deficits and the extent of recovery. There are also numerous treatments and unpredictable prognoses. Peripheral nerve surgeons disagree on the optimal timing and treatment of these injuries. [4], [5], [6], [7], [8], [9], [10].

Given the rarity and variability of presentation, randomized trials and standard treatment guidelines do not exist. As the United States moves towards value-based health care, there will be increasing scrutiny to identify optimal treatments for BPI to reduce cost, minimize complications, and improve outcomes.

In the present study, we surveyed peripheral nerve surgeons on how they handle a variety of BPI. This study aims to (a) identify the extent of disagreement and variability in the management of BPI, (b) determine the factors associated with the most disagreement that would benefit from comparative studies, and (c) provide an overview of the current state of management of BPI. We hypothesized that there would be substantial heterogeneity in practice patterns and a trend toward the increased preference for distal nerve transfers compared to earlier reports. [10], [11].