This chapter focuses on the radiographic imaging of the Hands. It starts with a labelled X-ray image highlighting anatomical structures of the hand and continues to outline the standard projections, centring points and the area of interest. It provides a detailed guide on positioning for Dorsi-Palmar (DP), Oblique and Lateral views. It also includes a guide on what to look for when evaluating these images to ensure each x-ray is optimal for diagnostic review. The chapter concludes with a section on common pathologies encountered in clinical practice, describing their typical radiographic appearances and considerations when these conditions are indicated in imaging requests.