Raymond W. Tse, MD

Raymond W. Tse, MD

Plastic Surgery, Brachial Plexus, Orthopedics, Craniofacial, Hand and Upper Extremity

On staff since November 2009

Children's Title: Brachial Plexus Program Director

Academic Title: Associate Professor

"It’s funny how life and dreams can take you places. After training as a plastic surgeon, then a hand surgeon, and then a cleft surgeon, life has brought me to Seattle Children’s. Treating the most important people in the world (kids) with irregularities that were there from day one or sometime not too long afterwards is highly rewarding. Whether the focus is on a child with a cleft, an ear anomaly, a birth paralysis, or a congenital hand difference, the approach is the same – to partner with the family and provide the best possible care. I’ve had many mentors throughout my career and I continue to learn and grow everyday but now it’s mostly the kids and their families that I learn from. I continue to strive for the unattainable because I know that my work is making an impact now and will last a lifetime."

  • Dr. Raymond Tse is an Assistant Professor at the University of Washington and Director of the Brachial Plexus Program at Seattle Children’s Hospital. His clinical focus is in pediatric plastic surgery with special expertise in cleft lip and palate, ear reconstruction, brachial plexus palsy and hand surgery.

    His research follows his clinical interests and ranges from careful measurement of deformities/deficits and surgical results to family experiences through the surgery and the decision-making process. Dr. Tse is heavily dedicated towards clinical care and research; however, he also devotes time teaching medical and dental students, residents and fellows.

    • Alice Roseville, CA 03.13.17

      Amazing Doctor that you won't regret going to. My son was born with extra thumbs on both hands (what an unexpected shock!). I went through two other doctors before choosing Dr. Tse. Best decision I've ever made for my son. Dr. Tse is kind, thorough, and listens to all your concerns. He never makes you feel rushed and answers all your questions. He's an excellent surgeon (just look at his education and experience). Most importantly I trust him. I have a hard time trusting doctors, but Dr. Tse is different. You're not just a number/paycheck to him. He wants your child to have the best outcome and he's willing to figure out how. I'm very pleased with my son's hands and would have traveled to even further to see him. Dr. Tse is truly a gift to Seattle Children's Hospital.

    • Denise Auburn, Washington 10.03.12

      This team was a Godsend to my grand daughter, Kayla. She was born with severe Brachial Plexus injury to her left arm. Dr. Tse completed two nerve transfers for Kayla at 6 months of age. We have spent many hours with this wonder doctor and his team of therapists (Heidi & Sarah) and hospital staff. What an amazing place. You would never find a doctor or therapists more loving and caring then these. They have the children totally at heart. Thank you so much for what you do! You all will never know what you have meant to Kayla and our family. God bles you all.

    • Angelica Greenville, SC 04.16.12

      Having a child born with a physical deformity is a scary and challenging thing. Choosing the person who will affect your child's face and life forever is a huge decision, and I'm glad that I found Dr. Tse when I needed to. He is incredibly compassionate, very knowledgeable and competent and did an amazing job repairing my son's cleft lip and palate. He had joined the SCH team right when my son was getting ready for his first surgery, so he was one of Dr. Tse's first patients at SCH. I am still in awe at the wonderful gift he gave my child, and would be proud to recommend him to yours if you're facing that difficult choice. The whole team at SCH was great, and it's kind and awesome doctors like this one that are part of it.

    • Iorio ML, Menashe SJ, Iyer RS, Lewis SP, Steinman S, Whitlock KB, Tse RW
      Glenohumeral Dysplasia Following Neonatal Brachial Plexus Palsy: Presentation and Predictive Features During Infancy.
      26541441 The Journal of hand surgery , 2015 Dec. : 40(12)2345-2351.e1
    • Miller EA, Goldin A, Tse GN, Tse R
      Extended Component Separation for Repair of High Ventral Hernia in Pediatric Omphalocele.
      26495216 Plastic and reconstructive surgery. Global open , 2015 Sept. : 3(9)e503 PMCID: PMC4596428
    • Menashe SJ, Tse R, Nixon JN, Ishak GE, Thapa MM, McBroom JA, Iyer RS
      Brachial plexus birth palsy: multimodality imaging of spine and shoulder abnormalities in children.
      25615781 AJR. American journal of roentgenology , 2015 Feb. : 204(2)W199-206
    • Tse R, Booth L, Keys K, Saltzman B, Stuhaug E, Kapadia H, Heike C
      Reliability of nasolabial anthropometric measures using three-dimensional stereophotogrammetry in infants with unrepaired unilateral cleft lip.
      24675205 Plastic and reconstructive surgery , 2014 Apr, : 133(4)530e-42e
    • Tse R, Nixon JN, Iyer RS, Kuhlman-Wood KA, Ishak GE
      The Diagnostic Value of CT Myelography, MR Myelography, and Both in Neonatal Brachial Plexus Palsy
      AJNR American Journal of Neuroradiology , 2014 : 35(7)1425-32
    • Tse R, Nixon JN, Iyer RS, Kuhlman-Wood KA, Ishak GE
      The Diagnostic Value of CT Myelography, MR Myelography, and Both in Neonatal Brachial Plexus Palsy
      AJNR American Journal of Neuroradiology , 2014 : 35(7)1425-32
    • Tse R, Ko JH
      Nerve glue for upper extremity reconstruction.
      23101603 Hand clinics , 2012 Nov. : 28(4)529-40
    • Tse R, Marcus JR, Curtis CG, Dupuis A, Clarke HM
      Suprascapular nerve reconstruction in obstetrical brachial plexus palsy: spinal accessory nerve transfer versus C5 root grafting.
      21617471 Plastic and reconstructive surgery , 2011 June : 2391-6
    • Wu J, Tse R, Heike CL, Shapiro G
      Learning to compute the plane of symmetry for human faces
      ACM-BCB , 2011
    • Raymond W. Tse, MD, Tse R, Laub DR, Hentz VR
      Thumb Reconstruction
      Weinzweig J, ed. Plastic Surgery Secrets Plus, 2nd Edition , 2010 : 755-60
    • Temple CL, Ross DC, Kim S, Tse R, Bettger-Hahn M, Gan BS, MacDermid J
      Sensibility following innervated free TRAM flap for breast reconstruction: Part II. Innervation improves patient-rated quality of life.
      20009826 Plastic and reconstructive surgery , 2009 Nov. : 1419-25
    • Fisher DM, Tse R, Marcus JR
      Objective measurements for grading the primary unilateral cleft lip nasal deformity.
      18766053 Plastic and reconstructive surgery , 2008 Sept. : 874-80
    • Tse R, Hentz VR, Yao J
      Late reconstruction for ulnar nerve palsy.
      17765589 Hand clinics , 2007 Aug. : 373-92, vii
    • Banerjee A, Moore CC, Tse R, Matic D
      Rounding of the inferior rectus muscle as an indication of orbital floor fracture with periorbital disruption.
      17711773 The Journal of otolaryngology , 2007 June : 175-80
    • Tse R, Allen L, Matic D
      The white-eyed medial blowout fracture.
      17255684 Plastic and reconstructive surgery , 2007 Jan. : 277-86
    • Matic DB, Tse R, Banerjee A, Moore CC
      Rounding of the inferior rectus muscle as a predictor of enophthalmos in orbital floor fractures.
      17251850 The Journal of craniofacial surgery , 2007 Jan. : 127-32
    • Temple CL, Tse R, Bettger-Hahn M, MacDermid J, Gan BS, Ross DC
      Sensibility following innervated free TRAM flap for breast reconstruction.
      16772904 Plastic and reconstructive surgery , 2006 June : 2119-27; discussion 2128-30
    • Seal A, Tse R, Wehrli B, Hammond A, Temple CL
      Sentinel node biopsy as an adjunct to limb salvage surgery for epithelioid sarcoma of the hand.
      15987509 World journal of surgical oncology , 2005 June 29 : 41
    • Tse R, Howard J, Wu Y, Gan BS
      Enhanced Dupuytren's disease fibroblast populated collagen lattice contraction is independent of endogenous active TGF-beta2.
      15541177 BMC musculoskeletal disorders , 2004 Nov. 12 : 41
    • Raymond W. Tse, MD, Tse R, Khan B, McKay D, Frieberg A
      Plastic Surgery
      M, Rottenberg R, eds. 2000 MCCQE Review Notes and Lecture Series. 16th ed , 2000

  • Presentations Title Event Location Date
    Team Building for Cleft Care Pan African Association of Cleft Lip and Palate , Kumasi, Ghana July 13, 2011
    Alveolar Bone Grafting for Cleft Lip and Palate Pan African Association of Cleft Lip and Palate , Kumasi, Ghana July 12, 2011
    Unilateral Cleft Lip Repair - Principles and Technique Pan African Association of Cleft Lip and Palate , Kumasi, Ghana July 11, 2011
    Update on Surgical Care for Brachial Plexus Palsies Washington Society of Plastic Surgeons Conference , Lake Chelan, WA June 25, 2011
    Brachial Plexus Palsies in Infants and Children Anchorage Alaska Pediatric Grand Rounds , Anchorage, AK June 7, 2011
    A Report of a Newborn with Isolated Lower Brachial XVII International Symposium on Brachial Plexus Surgery , Lisbon, Portugal May 19, 2011
    Surgical Treatment of the Brachial Plexus Washington State Hand Therapy Group , Bothell, WA March 29, 2011
    Brachial Plexus Palsies in Infants and Children North Pacific Pediatric Society 182nd Scientific Conference , Portland, OR March 11, 2011
    A Review of Congenital Hand Differences Canadian Plastic Surgery Chief Resident Review Course , Ottawa, Canada Feb. 27, 2011
    Congenital Hand Differences Visiting Professor VIHA Plastic Surgery , Victoria, Canada July 5, 2010
    Microtia Reconstruction - The Nagata Technique Washington Society of Plastic Surgeons Conference , Suncadia, WA May 2, 2010


Board Certification(s)

Plastic Surgery (Non-ABMS)

Medical/Professional School

University of Toronto - Faculty of Medicine, Toronto, Ontario


Plastic Surgery, University of Western Ontario, London


Hand Surgery, Stanford University School of Medicine, Stanford
Pediatric Plastic Surgery (Non-Board Specialty), Hospital for Sick Children, Toronto

Clinical Interests

Cleft Lip and Palate, Brachial Plexus Palsy, Congenital Hand Anomalies, Ear Reconstruction

Research Description

Cleft lip and palate
Brachial plexus palsies