Inclusion Criteria:  ≥18 years and <65 years ASA (American Society of Anesthesiology) classification: 1 - 3 Patient scheduled for ambulatory hand surgery using ultrasound-guided axillary block regional anesthesia or ultrasound-guided peripheral nerve block.  Exclusion Criteria:  Bilateral surgery BMI ≥ 40 kg/m² Motion sickness Patient that take medication that affects heart rhythm (beta-blockade) Infection in the area for peripheral nerve block injections. Existing neurological conditions. Chronic pain symptoms Opioid use within the past 3 months Allergy to local anesthetics Inability to experience the VR glasses experience (Vision disorders) Inability to understand study design or mental impairment Patients with autonomic nervous system dysfunction Pregnancy Heart transplant patients, patients with diabetic neuropathy, patients with myocardial infarction (or having passed through it) and/or tetraplegic patients Fear of being under water Sea sickness