The Hand Surgery Fellowship of the Massachusetts General Hospital is the confluence of two great traditions: The Orthopedic Hand Fellowship of Dr. Richard Smith and the Plastics Hand Fellowship of Dr. James May. In 2007, the two fellowships merged into a combined Orthopedic and Plastics Hand Fellowship to provide an even more comprehensive service.

 The Hand Surgery Fellowship at the Department of Orthopaedic Surgery of the Massachusetts General Hospital was founded in the mid 1970's by Dr. Richard Smith. The fellowship evolved by Dr. Smith to be an integral part of, not only in the management of patients with musculoskeletal problems of the hand and upper limb, but also as part of the Orthopaedic residency program. The fellowship has been structured to provide a broad clinical exposure to upper extremity problems, a graded responsibility in the management of these problems, and an expansive educational experience in producing high quality academic and scholarly activities. Initially, the fellowship consisted of one fellow, however, in 1980 the program was expanded to two fellows per year.

Dr. Richard Smith's untimely death led to a search for an individual of equal stature and Dr. Richard Gelberman came toward the end of the 1980's and brought continued enthusiasm and energy toward maintaining the fellowship as a premier academic program. With Dr. Gelberman's move to lead the Department of Orthopaedics at the Washington University in  St. Louis, the torch was passed on to Dr. Jesse Jupiter. Dr Jupiter has been on staff at the Massachusetts General Hospital since 1981 and serves as the Chief of the MGH Orthopaedic Hand Service and is the Hansjörg Wyss/AO Professor of Orthopaedic Surgery. The fellowship is under the direection of Dr. Chaitanya Mudgal.