Wide-Awake Local Anesthesia No Tourniquet (WALANT) is a surgical technique that has transformed the landscape of hand and wrist procedures. Unlike traditional methods, WALANT allows patients to remain awake during surgery, eliminating the need for general anesthesia. By utilizing local anesthesia and carefully administered injections, the patients remains awake and alert throughout the procedure. By offering a safer, more efficient, and patient-centered approach, WALANT has become a preferred choice for many surgeons and patients alike.