The wide-awake local anesthesia no tourniquet (WALANT) technique has become increasingly popular for various types of hand and upper extremity procedures. As the name indicates, WALANT is a technique in which patients undergo the surgery being wide awake, analgesia is delivered directly to the operative site via a local injection, and the use of tourniquet is avoided. Neutralized lidocaine and adrenaline (also known as epinephrine, which minimizes bleeding on the surgical field by imposing a vasoconstrictive effect in the subcutaneous layer) are often used for hand and upper extremity operations (Lalonde, 2010, 2014). WALANT is believed to have a number of advantages over the use of general or regional anesthesia with tourniquet for hand and upper extremity surgeries. For example, patients feel more comfortable without the use of a tourniquet, which may cause....