The stages of development experienced by a child include development in the fine motor aspect. Fine motor skills are part of a child's ability to observe and perform movements that involve only certain parts of the body with small muscles but require careful coordination. The purpose of this study is to determine the effect of the puzzle game method on fine motor development in preschool children at Dharma Wanita Al-Mu'minah Kindergarten, Sembayat Gresik Village. The design of this study uses Pre-Experimental (One Group Pre-post test). The population in this study is 119 preschool children. The sample taken was 46 children. The sampling technique is non-probability sampling by purposive sampling. Data collection uses KPSP Observation. The statistical test used is the Wilcoxon Signed Ranks Test. The results of the study showed that before being given therapy, the category was doubtful as much as 56.5% and 43.5% appropriate, after being given therapy, most of the 78.3% of children with fine motor development were appropriate. Based on the results of statistical analysis, a value (p=0.000 < 0.05) was obtained. The result of this study is that the provision of puzzle games can improve fine motor development in children. There is an effect of the puzzle game method on fine motor development in preschool children and it is hoped that teachers will further improve children's fine motor development by providing stimulation, one of which is providing puzzle games at Dharma Wanita Al-Mu'minah Kindergarten, Sembayat Gresik Village.