A group of tetraplegic patients was asked to choose the function which they would prefer above all others if they could have one restored. The list of choices included sexual function, bowel and bladder function, walking, and hand function. Hand function was the most popular choice. Fortunately, the means to respond to their choice is available. Those tetraplegics who have been cared for in the past decades by interested reconstructive surgeons have had their wished-for hand function improved in a useful fashion.