Abstract: A rod driving and extracting tool having a head connected to a handle is provided. The tool has two ends, each of which has an open bore, or rod-receiving end for communicating a section of a rod to be driven through either a first or second hollow handle section, respectively. The first and second hollow handle sections each have a second end forming a rod driving surface disposed in the handle. The first and second rod driving surfaces are on opposite sides of a generally solid, rod driving section interposed between the first and second hollow handle sections. The head has at least one additional driving surface in the form of a striking face. A rod extraction tool in the form of a cross-wise hole through the handle is provided in the solid rod driving section. Methods of using the tool to install a rod or to extract a partially exposed rod, are provided.