There are occasions where tendons will need to be lengthened to improve the muscle balance around a joint or tendons will need to be transferred to give overall better joint function. Starship surgeons have expertise in these operations.

These operations are sometimes needed in children with neuromuscular conditions but some other conditions can benefit from this kind of surgery as well.

Most of these procedures involve some sort of splintage after the surgery followed by a period of rehabilitation, normally supervised by a physiotherapist.