Trigger finger may be treated in a variety of ways, both conservative and surgical. In the early stages, steroid and local anaesthetic injections, as well as the use of a splint, are recommended. Surgical intervention is necessary if the conservative treatment fails or in persistent conditions. As an alternative, percutaneous surgery is already being used. Percutaneous surgery is becoming more popular than open surgery because of its convenience, cost-effectiveness, and low complication rate. An analysis of twenty patients with trigger fingers treated at the orthopaedic surgery department of Benha University Hospital and Suez Insurance Hospital by needle percutaneous release was the study's goal. Twenty patients with trigger finger underwent percutaneous trigger finger releases in a prospective cohort study at Benha University Hospital's orthopaedic surgery department. A total of 13 women and 7 males participated in the research. The average age at the time of the intervention was 52.55 years old (range 43 to 63). The study found that 15% of patients had bilateral thumb fingers, 5% had bilateral ring fingers, 20% had bilateral left ring fingers, and 20% had bilateral right ring fingers in the three patients. Six patients (30%) had diabetes, and one patient (5%) had hypothyroidism in the study. 3 patients (15%) were found to have Right De Quervan syndrome, while 2 of the 3 patients (10%) with Bilateral Carpel Tunnel Syndrome were also found to have Right Tennis elbow as a co-morbidity. A mean follow-up period of 4.95 weeks, ranging from 4 to 6 weeks, was examined postoperatively in our study, during which time the postoperative follow-up period was reviewed. The disease lasted an average of 1.14 years, ranging from 0.5 to 5 years in severity. According to our findings, 3 patients (15 percent) failed the procedure and required open release, while 17 patients (85 percent) experienced relief. As a result of this study, percutaneous release trigger finger by needle is an effective, convenient, and cost-effective alternative to open surgery