The surgical technique with short- term clinical and radiological outcomes after arthroscopic lunate excision in a high-demand patient are summarised in this case report. We hypothesise that this minimally invasive procedure preserves the dorsal intercarpal and dorsal radiocarpal ligaments and also preserves the movements occurring in the radiocarpal and mid-carpal joints thereby improving the clinical results. Our short-term outcomes show excellent improvement in DASH score at 3 months post-operativel