Handchirurgie weltweit e.V. was founded 2011 in Germany. The purpose is to develop, to run and to finance an Open Access Textbook for Hand Surgery in english language. According to the Budapest Declaration of the Open Access movement this textbook will be available worldwide, barrier-free and free of charge in the internet. Text and figures, photos and audio-visual media from the book can be used by everybody under the conditions of a Creative Common license refering the source. The cooperating partner is gms (German Medical Science), the Open Access Portal of the Federation of Scientific Medical Societies in Germany (AWMF). The project is supported by the IFSSH (International Federation of the Societies for Surgery of the Hand).