A case of total root avulsion (C5-T1) of the right upper limb. Results 5 years after the multiple nerve transfers: (1) Ph nerve transfer to the suprascapular nerve for shoulder function, (2) IC nerve (T3–5) transfer to the musculocutaneous nerve for elbow function, and (3) contralateral C7 transfer to the median nerve with a vascularized ulnar nerve graft for the hand function. The patient achieves improving (A) shoulder elevation, (B) elbow flexion, and (C, D) hand function with help of interphalangeal extension dynamic splint.