If you’re facing hand surgery, the prospect of anesthesia and a tourniquet can be daunting. But at our facility, we offer Wide Awake Local Anesthesia No Tourniquet (WALANT) surgery. This minimally invasive option allows you to remain wide awake during your procedure, without the use of general anesthesia or a tourniquet. That means you can expect a rapid recovery and be back to your normal activities in no time.

WALANT anesthesia is a regional block that numbs your hand and arm. You have the option to be given a sedative to help you relax, but you’ll remain awake and able to communicate with our team throughout the surgery. Because there’s no tourniquet involved, thus the recovery is less painful.

Most surgeries can be performed at an outpatient surgery center, thus decreasing the need for hospitalization or high costs of surgery at a hospital.

Surgeries Performed Under WALANT Anesthesia:

Carpal tunnel release

Trigger finger release

De Quervain’s tenosynovitis release

Ganglion cyst removal


Minimally invasive

No tourniquet required

Reduced recovery time and pain

Outpatient, same-day procedure

Less time (often patients spend less time in the surgical facility)

Able to eat and drink (particularly important for patients with diabetes0

Increased safety (sedation and general anesthetic medications are higher risk for complications)

Lower cost than traditional surgery (Especially when performing without sedation)

If you’re considering hand surgery, ask your doctor if WALANT is right for you. Our experienced surgeons are committed to providing the best possible care for our patients, and we’ll work with you to ensure that you’re comfortable and well-informed throughout your entire treatment.