Arthroscopy of the wrist has gained popularity among hand and wrist surgeons for diagnosing and treating wrist pathologies. In general, it is a minimally-invasive procedure which can be performed in day care surgery. It has a higher diagnostic accuracy compared to conventional imaging modalities such as CT or MRI. Simultaneous therapeutic intervention can be performed such as ligament repair, fracture reduction, ganglion cyst removal or synovectomy of the wrist. Recent studies have shown better functional outcomes and fewer complications compared to open surgical interventions. Prospective studies are still needed to confirm effectiveness and safety of wrist arthroscopy for several indications. Nonetheless, wrist arthroscopy has shown to be an important asset in the repertoire of the hand and wrist surgeon.