Dupuytren's disease has been known for centuries. The pathology is well recognized in the palmar fascia, but the disease aetiology is not. There is a strong genetic predisposition and it may be inherited as an autosomal dominant condition. There are many predisposing factors such as excess alcohol, smoking, diabetes mellitus and epilepsy. The patient is known to be a middle aged man of Northern European extraction, complaining of nodule in the palm then contracture develops affecting the fingers. The most effective treatment nowadays is surgical. There are many types of operations such as fasciotomy, fasciectomy (partial or complete), fasciectomy with skin graft and finally salvage operations (e.g. amputation). Surgery may be followed by many complications as digital nerve or artery injury, infection, haematoma, skin necrosis, joint stiffness and recurrence of the contracure.