The chapter discusses conventional bone grafts, specifically nonvascularized autologous bone grafts, their advantages, and indications for their use in various upper extremity procedures. Conventional bone grafts are categorized based on their source: autografts from the patient, allografts from another patient, and xenografts from another species. Autografts are favored due to their compatibility and reduced risk of immune response and infection transmission, but they come with disadvantages like donor site morbidity, increased operation time, blood loss, pain, and infection. The indications for conventional nonvascularized autologous bone grafts are outlined, including bone defects of less than 6 cm, the presence of a well-vascularized bed, absence of infection, and good soft tissue coverage. The article explains the differences between cortical and cancellous bone grafts, with the latter being more commonly used due to its osteoinductive, osteoconductive, and osteogenic properties. Several donor sites for autografts in hand and upper extremity surgery are detailed, including the iliac crest, distal radius, fibula, olecranon, and hemihamate. Each donor site is discussed in terms of its advantages, complications, and specific use cases. The iliac crest is the most common donor site for its versatility, but alternatives are explored for various surgical needs. In summary, this chapter provides valuable insights into the use of conventional nonvascularized autologous bone grafts in upper extremity procedures, emphasizing their benefits and suitable donor sites for different scenarios.