Carpal Tunnel Syndrome (CTS) is a chronic compressive neuropathy of the median nerve in the wrist and encompasses 90% of all peripheral compressive neuropathies. Most commonly occurs in middle age, more often in women. The most important predisposing risk factors are sex, age and genetic and anthropometric factors. In most cases, carpal tunnel syndrome is an idiopathic illness whose symptoms persist for months and even years. In the correct diagnosis setting, the most important is the EMNG finding that shows slow motor and sensory conductance in the wrist area at an early stage of the disease, unlike the late phase in which the muscles show clear signs of denervation. Therefore, although there are opportunities for conservative treatment, most resistant patients are ultimately selected for surgical treatment that in more than 95% of cases leads to permanent relief of symptoms. Today, the most commonly performed is the so-called open operation consisting in the transection of the transverse carpal ligament. With this work we tried to prove how short longitudinal cut results in a functional and aesthetically acceptable scarring. We analyzed preoperative and postoperative symptoms and scarring quality in 33 patients operated due to carpal tunnel syndrome. The obtained data indicate that adequate long-term decompression of median nerve is achieved by using the short-long incision with acceptable postoperative scarring quality.