Introduction: Preoperative anxiety and stress are common among patients undergoing elective gynecologic surgeries. These psychological factors can significantly influence anesthetic requirements and surgical outcomes. Understanding the extent of their impact is crucial for improving patient care and optimizing surgical procedures.Objective: To evaluate the effect of preoperative anxiety and stress on the anesthetic requirements and surgical outcomes in patients undergoing elective gynecologic surgeries.Methodology: A prospective, observational study was conducted involving 235 patients scheduled for elective gynecologic surgeries. Participants were assessed for anxiety and stress levels using validated scales preoperatively. Anesthetic requirements, intraoperative parameters, and postoperative outcomes were recorded and analyzed to determine correlations with preoperative anxiety and stress levels.Results: The study found a significant correlation between high preoperative anxiety and increased anesthetic requirements. Patients with elevated stress levels experienced longer recovery times and higher incidences of postoperative complications. Additionally, heightened anxiety was associated with decreased patient satisfaction and increased perception of pain post-surgery.Conclusion: Preoperative anxiety and stress substantially affect anesthetic needs and surgical outcomes in elective gynecologic surgeries. Addressing these psychological factors through preoperative interventions could enhance patient experiences and improve surgical results.