Background and Objectives: Stenosing Tenosynovitis commonly known as Trigger finger is one of the most common conditions encountered in orthopaedic practice, accounting for roughly 2-4% of all cases.It is characterised by painful, debilitating extension of the digits,presenting with painful “triggering” or “snapping”. It frequently affects adults aged 40-60 years. The technique of percutaneous release of the annular pulley for trigger finger is usually performed by using either a hypodermic needle, tenotome or specially designed knives.The objective of our study was to assess the safety and efficacy of percutaneous release of trigger finger. Methods:The study was conducted as a prospective study from October 2019 to March 2022,at Karwar Institute of Medical Sciences,Karwar.Percutaneous release using an 18G needle was performed on 50 patients with a total of 62 trigger digits,who did not respond to conservative treatment given for a period of minimum 3 months were included.Patients’ triggering severity was assessed using Quinell’s grading and pain was assessed using VAS score pre and post operatively.Patients were evaluated based on these two parameters at timely interval and final outcome was assessed at the end of one year. Results:45 patients with 57 trigger digits were included for the final analysis.29 were female and 16 male.Mean age was 49 yrs.12 had triggering in 2 digits.Thumb was the most common digit followed by ring finger.Grade 3(65%) trigger was the most common followed by Grade 2(17.5%).6 patients developed stiffness at 1st postop week,managed conservatively with physiotherapy and NSAIDs. 92% of our patients had Quinell’s grade 0 at 1 year follow up. Conclusion: Percutaneous release of trigger finger with hypodermic needle is a simple outpatient procedure with easy learning curve. It has a high success rate with very few complications and negligible recurrence.