Trigger Finger is a condition where a finger gets stuck in a bent position and then snaps straight. It's caused by a part of the finger called the A1 pulley getting thicker or a flexor tendon not sliding well. This study is checking if cutting out the A1 pulley (excision) is better than just cutting into it (incision) to fix the finger. The goal is to see if excision helps reduce the finger's problem coming back, lessens pain, and improves how patients feel about their hand's use.

The study will take place at the Emory Hospitals, and patients will have check-ups at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year after surgery. The study will include adults 18 or older who are having surgery, and they must give permission to join. Pregnant women, prisoners, or those unable to consent cannot join. There will be no payment for joining the study, and it will be discussed with patients by their orthopedic surgeon.

• Study length is up to 1 year with several follow-up visits.
• No payment for participation.
• Involves standard surgical procedures.