The indications for wrist surgery for tenosynovitis are patients with ineffective non-surgical treatment, partially infected tenosynovitis and acute plasma tenosynovitis. Tendovaginitis is acute and chronic inflammation of the tendon sheath due to repeated mechanical friction. Tendovaginitis is commonly treated with physical therapy such as massage and hot compresses to alleviate the symptoms, as well as non-steroidal anti-inflammatory drugs, such as ibuprofen and acetaminophen, to relieve the pain. Surgery can be considered if necessary, such as tenotomy and decompression to release the stenosis. Some patients with infectious tenosynovitis and acute plasma tenosynovitis also require surgical treatment, such as incision and drainage; this procedure eliminates the lesion and rapidly reduces inflammation. Patients with tenosynovitis should listen to their doctor’s advice and choose the appropriate treatment according to their specific situation.