Peripheral nerve injury can result in significant morbidity. The gold-standard treatment is currently end-to-end suture and is possible by mobilisation of nerve ends in cases with segmental nerve loss up to 1 cm. In cases of defects above 1 cm nerve autograft is the gold-standard treatment. To avoid donor site morbidity alternative procedures can be used, including conduits, nerve transfers and end-to-side suture. The purpose of this review is to create an overview of the currently available treatments of peripheral nerve injury and the clinical management of patients.