Table of Contents List of Figures ............................................................................................................................................ 3 Introduction ........................................................................................................................................... 4 Traditional Hand Surgery ...................................................................................................................... 5 Formal OR .......................................................................................................................................... 5 Anesthesia .......................................................................................................................................... 5 Cost ..................................................................................................................................................... 6 Benefits of WALANT ............................................................................................................................. 7 Decreases complications .................................................................................................................... 7 Decreases cost to patients and society ............................................................................................... 7 Improves patient satisfaction ............................................................................................................ 7 In-Office Patient Data ............................................................................................................................ 8 Methods .............................................................................................................................................. 8 Results ................................................................................................................................................ 8 Discussion ........................................................................................................................................ 12 Conclusion ........................................................................................................................................... 12 Appendix ...............................................................................................................................................13 References ............................................................................................................................................ 14 Patient Benefits and Economic Value of In-Office 2 Surgery for Hand Procedures