# Technology Behavior Model--Impact of Extended Reality on Patient Surgery
## 6 Findings and Discussion  
The results of the data analysis showed that behavioral attitudes and extended reality usefulness had a positive impact on patients' choice to use the XR procedure, but the validity of the two effects differed. Extended reality usefulness is the practical benefit which is a tangible effect [18], and attitude toward a behavior is just a mindset [72]. In the study, it was found that patients' attitudes towards behaviors had a higher impact than the usefulness of extended reality. The XR system allows patients to watch a video of a similar case surgery from a first-person view while simulating their procedure through a virtual surgery system. They can go through each step of the procedure with the surgeon's explanation. The usefulness of XR surgery is directly felt by the patient in terms of reducing presurgical stress, as the virtual surgery experience allows the patient to understand the procedure and the associated risks more precisely [73,74]. It eliminates ignorance and anxiety about unknown things. It helps to keep the patient's blood pressure stable and their heart rate normal before surgery [75]. These aspects provide a better physiological environment to ensure that the surgery is performed successfully. This shows that H1, H2, H3, and H4 are supported. In terms of operational value, XR technology can use external data and images combined with human medical graphics to construct three-dimensional images, which improves image visualization and facilitates surgical operations [76,77]. H5 is supported. The reduction in surgical risk lies in the ability of the surgical specialist to free their hands, keep them on the operating table, and focus their eyes. H6 is supported. The patient's trust in XR surgery depends on passive trust, perceived judgment through experience, and results given by the surgeon [7]. Recognition of the value of XR surgery is a prerequisite for patients to undergo a given procedure. The data shows that patients are willing to accept the new smart surgery. This suggests that H7 is supported. It is clear from the data that the risk of surgery has a much greater impact on patients' behavioral attitudes than the value and trust of the procedure. Patients are more focused on the reduction in the risk factor. The removal of tension is one way of ensuring that patients are physiologically balanced. In psychology, people feel tension within themselves about things that are not clear. Some patients can regulate their mental health through self-regulation, but others are over-stressed, which causes a physical stress response. This supports H8 and H9. Furthermore, in [PERSON] et al. 's study, head-mounted displays were effective in reducing anxiety in pretransplant patients, and video viewing with head-mounted displays was more effective than normal video viewing [52]. The present study has shown that the method of using VR/MR virtual surgery demonstrations combined with physician presentations is superior to traditional preoperative information, transforming cold, impotent verbal communication into actionable 3D image demonstrations, combined with physician presentations, for a more in-depth experience of the safety and feasibility of the procedure. Not only does this method dispel the patient's concerns about surgery, but it also enhances the patient's trust in the surgeon. It reflects the value of the operation together with trust. The avoidance of surgical risks lies in the simulation of surgery, the user of the unfamiliar equipment can use reminders, and can always be supervised in conducting surgery [78]. Through the first-person view presented