How to reduce pre-surgical fear? A study says, try EFT!

John Freedom, CEHP & Sarah Murphy, LPC • February 26, 2024

Many people who face surgery are looking for ways to reduce pre-surgical fear. Hearing about possible complications and “what might go wrong” can increase these fears. Those of us who work with energy psychology understand how tools like EFT (Emotional Freedom Techniques) can help. For instance, I (Sarah) have often used EFT with my clients who are fearful of an upcoming operation, and I know – and my clients have learned! – how effective it is.

Moreover, reducing pre-surgical fear is important. A 2021 study found that while pre-surgical fear does not seem to affect survival rates, it does impact quality of life, cognitive performance, memory and attention, and depression. It also is associated with longer hospital stays and increased physical disability. 


A study on EFT for presurgical fear, by Manevse and Yavla, appears in the October 2023 edition of the Journal of PeriAnesthesia Nursing. This adds to the body of research supporting EFT for pre-surgical fear. In the study, EFT significantly reduced fear by 54.4%.


The study setup

The research used a pretest, post-test, and randomized controlled experimental research design. A total of 112 patients participated and were randomly divided into EFT experimental and control groups. In order to have data to compare, the control group received standard treatment practices. Meanwhile, the experimental group received EFT.


Measures

Researchers used a patient information form, an Anxiety Specific to Surgery Questionnaire, a Surgical Fear Questionnaire, and Subjective Units of Disturbance (SUD) to collect the research data. There were no significant pretest differences between the groups in terms of descriptive and clinical features (P > .05).


The surgery

All participants were facing laparoscopic cholecystectomy. This is a surgical procedure where the surgeon removes the gall bladder through small punctures in the abdomen to permit the insertion of a laparoscope and surgical instruments. 


Results

The post-test score averages of EFT group in the Surgical Fear Questionnaire, Anxiety Specific to Surgery Questionnaire, and SUD were significantly lower than in the control group (P < .001). Significantly, the EFT reduced the SUD scores of the patients by 54.4% (P < .001).


The authors concluded:  "EFT was found to be useful in clinical practice in the preoperative period, reducing surgery-specific anxiety and surgical fear. EFT can be recommended for application during the preoperative period in clinics."


Why this study matters.

Pre-surgical fears and anxieties are risk factors for post-surgical complications. Reducing or eliminating pre-surgical fears reduces complications and may shorten post-operative recovery time. Clinicians and healthcare workers can help their patients by sharing EFT. Most people would love a tool that gives them a 50+% reduction in their fear. That tool exists, and we should be using it.


Want to learn more?

ACEP offers gold-standard training, designed especially for licensed clinicians, in EFT. Want to learn more about the science behind energy psychology while earning CE’s? Take our science of energy healing course. You can stay up to date with the research on energy psychology here, or ask research committee chair John Freedom to add you to the research (research_committee@energypsych.org). Want to be involved in energy psychology research? You can participate in ACEP’s research collaboration with Peta Stapleton. 


Authors

John Freedom, CEHP, serves as chairman of ACEP’s research committee. The author of Heal Yourself with Emotional Freedom Technique, he presents seminars and events throughout the US and in Europe.


Sarah Murphy, LPC, ACP-EFT, is an ACEP board member and communications committee chair. She is a counselor in private practice and specializes in working with people who have serious illnesses.



Photo by Alexander Grey on Unsplash



By Mary Nathanson January 14, 2026
For centuries, herbs have been revered for their ability to restore balance in the body and mind. Today, a growing body of scientific research supports what ancient cultures have long understood — herbs possess unique energetic properties that influence physical, emotional, and spiritual well-being. 
By Robert Bray, PhD, DCEP December 15, 2025
Recently, during a Basic TFT Algorithm Training, I had a profound experience helping someone work through a traumatic event that had happened more than 30 years ago.
By Lori Chortkoff Hops, PhD, DCEP August 13, 2025
“The only constant is change.” Heraclitus of Ephesus “People are very open-minded about new things, as long as they're exactly like the old ones.” Charles F. Kettering “Always remember, you have within you the strength, the patience, and the passion to reach for the stars to change the world.” Harriet Tubman
More Posts