Value is a measurement of the relative quality and cost of a product or service. High-quality and low-cost increase value. Understanding cost and outcomes in health care can help us understand how to improve value in congenital hand surgery. To do this, we need to better measure and track cost of this pediatric condition as well as quantify outcomes. Delivering care in high-volume centers with pediatric specialists and a multimodal team will improve value in congenital hand differences.