{Reference Type}: Journal Article {Title}: Guidelines for Wide-Awake Local Anesthesia Surgery with No Tourniquet in the Office Setting Using Field Preparation Sterility. {Author}: Schank KJ;Engwall AJ;Kuhns BW;Oakes TC;Bray SM;Clarkson JHW; {Journal}: Plast Reconstr Surg {Volume}: 151 {Issue}: 2 {Year}: 02 2023 1 {Factor}: 5.169 {DOI}: 10.1097/PRS.0000000000009850 {Abstract}: Wide-awake local anesthesia surgery with no tourniquet, or WALANT, has become popular in surgery, especially among hand surgeons. With the increasing number of surgeons performing office-based procedures, this article provides guidelines that may be used in the office setting to help transition more traditional hospital operating room-based procedures to the office setting. This article outlines the benefits of performing office-based wide-awake local anesthesia surgery with no tourniquet and provides a step-by-step guide to performing procedures that can be easily incorporated into any hand surgeon's practice successfully and safely.