Hand surgery in Latvia has been recognized by Latvian Medical Society as a

subspecialty of Plastic Surgery or Orthopedic surgery since 2009. It has a

separate examination (practical and written) after compulsory training (fellowship)

for one year in a certified institution at home or abroad. Most of hand surgeons in

Latvia are Plastic surgeons with 6 years of postgraduate training. There are two

centers where candidates can undergo training: Centre of Plastic and

Reconstructive microsurgery of Latvia, dept of Hand Surgery (affiliated with Riga

Stradins University) and Hospital of Traumatology and Orthopedics.