Local anaesthesia with adrenaline has been shown to be safe and effective form of anaesthesia, which has many advantages for the patient which include less expensive, less time off work ( no need for pre-assessment checks in most cases), less time in hospital, the patient can communicate with the surgeon and be motivated with their rehabilitation specifically with the visual memory, no fasting required.
Find out more: https://www.topdoctors.co.uk/medical-articles/the-walant-technique-advantages-wide-awake-hand-surgery