Background: A wide-awake local anesthesia with no tourniquet (WALANT) technique is introduced for treating an elective and selected hand trauma cases in the outpatient setting. Objective: This study aimed to evaluate the effectiveness and benefits of WALANT technique. Patients and methods: Seventy patients were managed in Zagazig University Hospital, Plastic and Reconstructive Surgery Department. The patients were divided according to the type of anesthesia into; group 1 included 36 cases used tumescent, and group 2 included 34 cases used traditional anesthesia. Results: There was no significant difference as regard age and the duration of surgery between both groups. There was a significant difference between the studied groups in pain measurement scale as well as in hospital stay (P < 0.001). Conclusion: The WALANT approach is effectively allowing the procedure to be performed without the need for anesthetic recovery or hospitalization.