Common teaching recommends repair of 2 veins per arterial anastomosis, but this is a teaching to which not allreplant surgeons ascribe.8,10 There is complete consensus,though that sufficient vascular outflow is imperative toreplant success and that restoration of venous outflow is themost appropriate mechanism—although in some situationsthis may not be possible. To add to the limited literature onthis topic, it is, therefore, the purpose of this study to assessthe relationship between vein repairs and survival of singledigit replantations