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.