As the modern industrialized world pushes towards a more advanced and sophisticated hand prosthesis the biologic solution was neglected and the Krukenberg procedure is rarely being performed. We present a case of 22-year-old male, Syrian conflict victim, who suffered a severe blast injury which results in bilateral traumatic hand amputation. His financial and social status as well as living environment and general conditions demanded a permanent low maintenance functional solution, thus he was offered the Krukenberg procedure with excellent result.