Located in Nishi 17-chome, Odori, Chuo-ku, Sapporo, Nishi 18-chome Te-no Clinic opened in July 2012 as Japan's first orthopedic clinic specializing in "hand surgery" as an insurance-covered medical facility. Hand surgery is a specialized field focusing on the treatment of trauma and disorders of the upper extremities excluding the shoulder joint, and this clinic provides advanced medical care dedicated to this area. The clinic handles various day surgeries for hands and upper extremities including tendon release surgery, carpal tunnel release surgery, arthrodesis and artificial joint replacement for degenerative joint disease, suturing of nerves, tendons, and ligaments, and open reduction surgery for finger and forearm fractures. Surgery is also available on Saturdays. As of January 2026, with a cumulative total of 22,525 patients and over 6,300 surgeries performed, this medical facility sees patients referred from general orthopedic clinics accounting for 11% of the total, and the high number of medical professionals seeking treatment demonstrates its high level of expertise widely recognized within the medical community. The fact that 46% of patient referrals come through word-of-mouth also serves as an indicator of high trust in their medical care. In addition to English language support, the clinic accepts credit cards and electronic payments, and is equipped with barrier-free facilities. Working in collaboration with nearby medical facilities, they accept a wide range of patients requiring specialized treatment for hands and upper extremities.