Dr. David Daugherty is a fellowship-trained orthopedic hand surgeon in Carlsbad at Orthopaedic Specialists of North County, with his Carlsbad office on Paseo Del Norte near the Carlsbad Premium Outlets and a second location in Oceanside. Board-certified by the American Board of Orthopaedic Surgery, he specializes in hand and microvascular surgery covering the hand, wrist, forearm, and elbow, and acute traumatic hand injuries often present first through urgent-care triage at Scripps HealthExpress Carlsbad before surgical consultation. He earned his M.D. from the University of Mississippi Medical Center (1985), completed general surgery internship and orthopedic residency at Letterman Army Medical Center on the Presidio of San Francisco with rotations through Shriners Hospital for Crippled Children, and finished a hand and microvascular surgery fellowship at California Pacific Medical Center. Hospital privileges at Tri-City Medical Center and Scripps Memorial Hospital Encinitas support inpatient and ambulatory surgical access, and bilingual consultation in English and Spanish serves North County's diverse patient base. Post-surgical hand rehabilitation requiring in-home therapy and ADL functional-independence training for complex reconstructions coordinates through home-health providers such as SYNERGY HomeCare. Microvascular replantation and free-tissue-transfer procedures utilize operating microscopes at 10x to 25x magnification with 8-0 and 9-0 nylon microsuture for digital artery and nerve coaptation in traumatic amputation and devascularization cases.