Section I Atlas of Tumescent Local Anesthesia Elbow, Forearm, Wrist, Hand, and Finger Injections 1 Finger Blocks and Atlas of Images of Tumescent Local Anesthetic Diffusion Anatomy Section II General Principles of Wide Awake Hand Surgery 2 Advantages of WALANT for Patients, Surgeons, and Anesthesiologists 3 Safe Epinephrine in the Finger Means No Tourniquet 4 On Using Tumescent Local Anesthesia 5 How to Inject Local Anesthetic So That It Does Not Hurt 6 Dealing with Systemic Adverse Reactions to Lidocaine and Epinephrine 7 Tips on Explaining WALANT to Patients before Surgery 8 Teaching Patients and Residents during Surgery Decreases Complications 9 Tips on Good Local Anesthesia in Infants and Children 10 Moving Surgery out of the Main Operating Room with Evidence-Based Field Sterility 11 WALANT and Value in Health Care: Improving Outcomes and Lowering Cost 12 WALANT and "The Why": Administration, Anesthesiology, Nursing, and Payers 13 Performing Your First Cases with WALANT 14 How to Schedule 15 or More Hand Surgery Cases per Day with One Nurse 15 Integrating Hand Therapists into WALANT 16 Minor Procedure Room Setup Section III Details of How to Do WALANT and Therapy Tips for the Upper Extremity Part A Tendon Surgery: Tendon Decompression 17 Trigger Finger 18 De Quervain's Release Part B Tendon Surgery: Lacerated Tendons 19 Flexor Tendon Repair of the Finger 20 Flexor Tendon Repair of the Hand, Wrist, and Forearm 21 Extensor Tendon Repair of the Finger (Zone 1 Mallet to Zone 5 MP Joint) 22 Extensor Tendon Repair of the Hand, Wrist, and Forearm (Zones 6 to 8) Part C Tendon Surgery: Tenolysis 23 Tenolysis Part D Tendon Surgery: Tendon Transfers 24 Tendon Transfers Part E Tendon Surgery: Tendon Grafts and Pulley Reconstruction 25 Tendon Grafts and Pulley Reconstruction Part F Nerve Surgery 26 Carpal Tunnel Decompression of the Median Nerve 27 Cubital Tunnel Decompression of the Ulnar Nerve 28 Lacertus Syndrome: Median Nerve Release at the Elbow 29 Radial and Peroneal Nerve Decompression 30 Simultaneous Release of Carpal Tunnel with Cubital Tunnel or Lacertus 31 Lacerated Nerves Part G Dupuytren, Mass Excision, Flaps, Compartment Syndrome Decompression, and Infection Surgery 32 Dupuytren's Contracture 33 Ganglions and Other Small Soft Tissue Operations 34 Flap Harvest and Transfer in the Hand 35 Infection Surgery, Compartment Syndrome Release, and Tibial Hematoma Drainage Part H Joint and Arthritis Surgery: PIP and MP 36 Finger Joint Arthroplasty, Fusion, and Ligament Repair 37 Thumb Metacarpophalangeal Joint Fusion and Ulnar Collateral Ligament Repair Part I Joint and Arthritis Surgery: Wrist 38 Trapeziectomy with or without Ligament Reconstruction for Thumb Basal Joint Arthritis 39 Wrist Arthroscopy 40 Wrist Arthritis Surgery Part J Upper Limb Bones and Fracture Surgery 41 Finger Fractures 42 Metacarpal Fractures 43 Wrist Fracture and Ligament Injuries 44 Distal Radius and Forearm Fractures 45 Surgery around the Elbow 46 Clavicle and Acromion Fractures Part K Amputation and Replantation 47 Finger and Ray Amputation 48 Replantation Part L Ultrasound Diagnosis and Treatment in Hand Surgery 49 What You Need to Know about the Basics of Using Ultrasound for WALANT Hand Surgery 50 Ultrasound-Assisted Upper Extremity Procedures Section IV WALANT Lower Extremity Surgery 51 Patella Fractures 52 Tibia and Fibula Fractures 53 Foot and Ankle Fractures and Surgery