**4. Conclusion**

In conclusion, microsurgical anastomosis is a fine art that needs practice, practice, practice to make perfection. There is absolutely no room for error. There are numerous techniques that can help the novice, though and repetition will improve the outcome. Good instrumentation, the correct suture materials and an excellent microscope will help tremendously. A number of items may be modified without sacrificing the result and some of these ideas may be used in less developed countries.
