Hand prosthetics is not just about who knows how to “make one”. It is about knowledge of anatomy, hydrostatics and retention. It is about color acuity and surface detail capture. It is about the role of digital technologies. It is about polymer selection and durability. It is about conscientiousness and caring. Responsible delivery of hand prosthetics and extremity silicone restoration has a clinical component, a technical and artistic component and a best practices business component all prioritized and balanced to maximize the prosthetic outcome in view of each patient’s etiology and rehabilitation care plan. Perhaps most importantly it is about the confidence our patients have knowing Medical Art Prosthetics will be there for years of reliable follow-up service.