Obstetric brachial plexus palsy (OBPP) is a paralysis of the upper extremities resulting from damage to the principal nerves that supply the brachial plexus; specifically, C7, C6, C5, C8, & T1 are affected. It is a prevalent neurological birth injury that is frequently caused, although not exclusively, by the traction applied to the neck throughout a challenging childbirth. Depending on the extent of the damage, it may necessitate surgical intervention and/or rehabilitation therapy to stabilize over time. The utilization of nerve transfers in brachial plexus reconstruction has experienced a significant rise in recent years. In a nerve transfer, which is an operation is performed to reinnervate a specific muscle by connecting an expendable nerve to a more vital nerve. For several years, the idea of nerve transfer has been understood. multiple types of nerve allocations are mentioned in the literatures and found to have variable outcomes. The triceps branches of the radial nerve are linked to the axillary nerve (AN). The long thoracic nerve is transferred to the suprascapular nerve. The lateral pectoral nerve is connected to the musculocutaneous nerve (MCN). Additionally, the ulnar nerve (UN) is also connected to the MCN.