Cases of complete brachial plexus birth injury are likely to result in severe limitation of upper limb function and are challenging to manage. There is little high-level evidence to guide management of these children. Surgical exploration and microsurgical repair of the plexus is often recommended when facilities are available. Three expert brachial plexus surgeons were asked to answer specific questions regarding outcomes of non-operative management, their surgical strategies, the indications for contralateral C7 nerve root transfer, outcomes of surgical reconstruction and evidence for operative nerve surgery and improvement in hand function. The responses are presented and discussed.
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