Wide-Awake Local Anesthesia No-Tourniquet (WALANT) Procedures

The goal of this clinical trial is to learn whether a standardized preoperative educational video improves expectation management and the patient experience in adults undergoing Wide-Awake Local Anesthesia No Tourniquet (WALANT) hand surgery. The main questions it aims to answer are: 1. Does watching a preoperative educational video help patients better understand what to expect from their WALANT surgical experience? 2. Does watching the video impact anxiety scores, pain scores, overall satisfaction, and patient-reported functional outcomes? Researchers will compare patients who receive traditional preoperative counseling plus the educational video with patients who receive traditional preoperative counseling alone to determine whether the video improves the patient experience. Participants will: * Complete questionnaires about their expectations, anxiety, pain, hand function, and satisfaction before, during, and after their WALANT procedure. * If assigned to the video group, watch a standardized educational video explaining what to expect before, during, and after WALANT surgery. * Complete their final study questionnaires at their 2-week postoperative follow-up visit.

Inclusion Criteria: * Adults ≥18 years * Scheduled for an elective WALANT procedure with a Carilion Clinic hand surgeon * Able to read and understand English * Capacity to consent Exclusion Criteria: * Prior WALANT surgery * Visual impairment that would prevent the participant from watching the preoperative educational video