Skin preparation with disinfectant solution for hand surgery patients is difficult to perform single-handedly. It requires the help of either an assistant or the scrub nurse or surgeon to use an extra set of sterile gloves. This problem may be circumvented by the novel use of the Rhys-Davies exsanguinator (Trellebourg Woodville Rail, Derbyshire, United Kingdom) to support the arm after exsanguination and inflation of the tourniquet (Fig. 1). The arm is raised above the sterile surface, allowing it to be cleaned and draped single-handedly.