Carpal tunnel surgery can be life changing and the benefits of keyhole methods are making this procedure even more patient-friendly with less pain, less downtime and lower overall costs. Gold Coast Private orthopaedic upper limb and hand surgeon, Michael Kalamaras, said he performed keyhole carpal tunnel surgery through a small incision in the wrist, rather than the traditional approach through the palm, making it easier to recover and maintain use of the hand during recovery; and allowing both hands to be done simultaneously.