In the period between 1985-1986 137 patients underwent simple nerve decompression by division of the carpal ligament as therapy for carpal tunnel syndrome. In a long-term follow-up it was possible to control the results of 61 cases. Beside two patients all showed an absolutely satisfying result, subjectively as well as electroneurophysiologically. Therefore we can recommend simple ligament division as a safe and quick method for the therapy of carpal tunnel syndrome.