IMHO, she should not get the procedure done in any other way except the Laproscopic surgery. I had my right hand done 16 years ago that way and have been thrilled with the result. Do a little research and you will find that any surgery that cuts the palm of the hand results in a palm that will never be as strong and tough as the original. For some that would not be a problem. For me as a person that works with my hands it would have been a big problem. ............ Big Cholla