This exhibit features five illustrated surgical steps to repair a brachial plexus birth palsy. The conditions resulting from this injury include a left residual brachial plexus palsy with persistent lack of external rotation. A posterior axillary incision is made in the left arm to release the latissimus dorsi and teres major insertions. The subacromial bursa is removed, and sutures are passed through the humerus. The tendon transfers are then secured to the humerus to complete the procedure.