Objective: To investigate the results that recalcitrant tennis elbow were treated by release of the common extensor origin through small lateral incisions of the elbow. Method: Fifty-four patients operated were reviewed. The minimum follow-up period were 6 months (averaged 29 months). Results: 96.6% patients had excellent or good results, with elbow pain released and grip strength increased. Conclusion: Release of the common extensor origin through small lateral incisions of the elbow is one of simple and effective approaches in treatment of the recalcitrant tennis elbow.