Background: Replantation and revascularization surgery is a procedure which requires adequate training, good knowledge of microsurgical technique and proper infrastructure and instrument. In India replantation is most of the time performed in tertiary centre which are having good infrastructure and team of plastic surgeons well trained in microsurgical procedure. Case Report: We hereby report simultaneous replantation at wrist level and revascularization at elbow level in a 45 year old female factory worker in a Kumaoun region of India. Conclusion: Decision of reimplantation and revascularization in patient is based upon the patient’s age, occupation, socio-economic status and expected return of function after surgery.