The stiff finger is a frequently encountered entity in hand surgical practice. It stems from a myriad of causes, may have multiple components, and requires a variety of solutions. A true understanding of the ideal treatments for the stiff finger requires a basic understanding of the local milieu that arises from injury and the anatomic features that are at risk for pathologic changes. Hand surgeons must be able to help patients understand the various factors at play and the time course of wound healing and injury-induced inflammation, because an educated and motivated patient is the best ally in the battle against the stiff finger.