07/24/2026
Dr. Todd Gaddie talks about the WALANT (Wide Awake Local Anesthesia No Tourniquet) orthopedic surgery technique at OrthoNebraska.
Video transcript
Wide Awake Local Anesthesia No Tourniquet (WALANT)
Wide Awake Local Anesthesia No Tourniquet, or WALANT, is a technique of surgery that we use for procedures like trigger finger release, carpal tunnel release, mucous cyst removal, and other fingertip procedures.
A big advantage is that you don’t need general anesthesia. If you’re undergoing general anesthesia, you typically have to arrive an hour or two before surgery and stay an hour or two afterward, so the entire process can take four, five, or even six hours of your day.
With WALANT, you arrive about 30 minutes to an hour before your procedure, and you don’t have to stay very long afterward.
The treatment room is kind of a hybrid where we can still do everything we need to do while keeping everything clean and sterile, but you don’t have to go into an operating room. It tends to feel like a much less invasive experience.