Cubital tunnel syndrome affects a variety of individuals, including geriatric low-demand patients and young, healthy overhead athletes. The first line of treatment for patients with cubital tunnel syndrome includes nonsurgical treatment modalities, such as activity modification, physical therapy, NSAIDs, and the use of elbow splints at night to prevent excessive elbow flexion. Surgical management of cubital tunnel syndrome includes in situ nerve decompression or nerve decompression with anterior transposition, including subcutaneous or submuscular transposition. Medial epicondylectomy and endoscopic decompression also are surgical options. Several studies comparing types of anterior transposition and nerve stabilization for the management of cubital tunnel syndrome have reported no difference in outcomes. This video demonstrates ulnar nerve transposition with the use of an intermuscular fascial sling for nerve stabilization in a professional baseball pitcher. If the intermuscular septum is not available or of inadequate width, then other nerve stabilization techniques can be used.