With severe hand arthritis this is my solution to stapler pain

Used a regular hole-punch to punch 50 index cards the previous day and ended up with a very sore hand

I punched through a lot of stuff in one day (several hundred sheets) and my hand was not sore

It doesn't hurt your hand like those inexpensive silver metal ones do, and makes nice round punches.

They are easy to hold, don't hurt your hand and cut easily through multiple sheets of laminated paper

Hand doesn’t hurt at all.

It is a one-hold punch, and it works as it should.