Todd M. Guyette, MD


  • Accepting New Patients
  • Virtual Visits Available
  • Available within 1-3 Days
(425) 820-8975


With a clinical practice that spans the range of upper extremity pathology, Todd M. Guyette, MD, has advanced training and interest in the newest techniques for hand and upper extremity pathology. Surgery remains only one pillar of treatment, and many of these diagnoses can be successfully managed without surgery through a coordinated approach that includes therapy, medications, and patient education.

Dr. Guyette’s clinical focus is on the surgical and nonsurgical treatment of complex hand and wrist trauma, nerve compression syndromes of the upper extremity with minimally invasive endoscopic techniques, wrist and digit arthroscopy, arthritis of the hand and wrist, Dupuytren’s contracture, as well as skin and soft tissue problems.

His years in practice has solidified his patient philosophy that the localized problems of the upper extremity affect the whole patient, including their work, recreational activities, and even simple daily tasks. He believes that each patient’s treatment must be undertaken with an understanding of that context.

Dr. Guyette lives on the Eastside with his wife and two young daughters.


Program: MD
Institution: Harvard Medical School

Program: Residency
Institution: Hospital for Special Surgery

Program: Fellowship in Orthopedic Surgery
Institution: Curtis National Hand Center

Program: Board Certified
Institution: American Board of Orthopaedic Surgery

Program: Subspecialty Certificate in Surgery of the Hand
Institution: American Board of Orthopaedic Surgery


American Academy of Orthopedic Surgery

American Society for Surgery of the Hand

Washington State Medical Society

Services + Specialties

Specializing in:

  • Arthritis of hand and wrist
  • Carpal tunnel
  • Contractures of the hand and fingers
  • Joint replacement of fingers, hand, and wrist
  • Masses of the upper extremity
  • Nerve decompression and repair
  • Tendonitis of the hand, wrist, and elbow
  • Trigger finger
  • Upper extremity fractures


Patient Resources

Getting Ready for Your Visit

To make your check-in process and appointment as smooth as possible, it is important that you bring the following items to your appointment:

  • Photo ID
  • Insurance card (If you do not have a hard copy, please email a copy to
  • Some insurance carriers require you have a referral or authorization prior to treatment, please check with your carrier.
  • A list of all your current medications and allergies to any medication
  • Copies of any imaging or testing (such as x-rays, MRIs, CT scans, EMG/NCV, etc.) done on the extremity we will be treating you for
  • Any medical records from other providers you have seen for this issue

New Patients

In order to complete any outstanding paperwork and/or process any required changes to your patient information, we ask that you arrive 15 minutes prior to your scheduled appointment time. We ask you arrive 30 minutes prior if you still need to complete the new patient forms.

  • If you are a new patient with PHWE, please print and complete the New Patient Forms prior to your appointment.
  • If you would like to authorize Proliance Surgeons to use or disclose your health information to another party, please print and complete the Record Release Form.
  • If you have a child under the age of 18 years old and you will be authorizing another adult to attend your child’s appointment or authorizing the child to come to the appointment without an adult, please print and complete the Advanced Consent to Treat Minors Form.