A wrist and finger communication device (10) includes a strap (12), a communication module (14) connected with the strap (12) and a watch head (26). The communication module (14) includes a voice module (18) having a microphone (20), and a speaker (22) or a bone conduction actuator (24). The bone conduction actuator (24) may be provided on the communication module (14) or on a ring-shaped member (30) to be worn on the user's finger. The speaker (22) may be provided on the communication module (14) and extendible to a palm region of the user's hand cupped over the user's ear.