Thumb resistance is a basic activity of thumb. Middle nerve paralysis meddles with an enormous number of customary exercises like resistance. This investigation planned to survey the result of ligament move for reclamation of resistance in instances of low middle nerve injury in regards to hand grasp and scope of movement and useful result. Thirty patients, 19 guys and 11 females with a mean time of was 29 years, with a standard deviation of 11 years were remembered for this examination. The interim between wounds to a medical procedure was 17 months, with a standard deviation of 3 months. All patients experienced segregated low middle nerve injury with lost resistance were incorporated for and flexor digitorum superficialis (FDS) opponensplasty. Evaluation of resistance by Kapandji score and appraisal of level of agony by VAS and hand grasp by QuickDASH score. Every one of the patients will have nerve conduction and electromyogram, clinically assessment following fourteen days and evacuation of the skin stitch then at about a month expulsion of the piece and consider controlled scope of movement, and at 3, 4 months postoperatively FDS opponensplasty give better outcomes in low middle nerve paralysis. The volar slanted cut offers clear perception while isolating the FDS ligament, diminishing the frequency of flexion distortion of the ring finger.