Introduction: Preoperative education comprises of a number of interventions that occur ahead of surgery to prepare patients for the course of anaesthesia, surgery and postoperative recovery. Preoperative education materials might help improve patient’s cooperation and satisfaction to anaesthesia technique, and OT experience as well as decrease their anxiety. Different methods of communication such as verbal explaining, handouts, images, videos, etc might be used to pass the information to the patients make them familiar with the environment and technique. Aim: Evaluation of role of preoperative powerpoint information regarding OT environment and technique of anaesthesia on patient cooperation, satisfaction and hemodynamics in elective orthopedic surgeries under spinal anaesthesia. Material and Methods: This was a single centred prospective observational study conducted in Department of Anaesthesiology and Critical Care, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India. A total of 120 patientsin the age group 18-60 years belonging to ASA I-II posted for orthopaedic surgery under spinal anaesthesia were included in the study. Patients were randomized into two groups- Group I (Control Group, n=60) and Group II (Powerpoint Group, n=60). Demographic parameters, baseline HR, BP, RR and VASB for anxiety were recorded during PAC visit. Preoperatively, HR, BP, RR and VASPRE for anxiety were recorded. Intraoperatively, HR, BP and RR were recorded. Postoperatively, HR, BP, RR, Patients cooperation to anaesthesia (PCA) an a 1-5 likert scale and Patient’s satisfaction score (PSS) on a 1-5 likert scale were noted. Results: Total of 120 patients were analyzed with 60 patients in each group. Patients were comparable in terms of age, gender, baseline HR, BP, RR and VASB . Preoperative Visual Analogue Score (VASPRE) among the patients in both groups was found to be statistically significant (p value, 0.001) with a mean+- SD of 50.10+- 2.956 in Group I and 36.37+- 1.904 in Group II respectively. Difference in Patient’s Cooperation to Anaesthesia (PCA) among both groups was statistically significant ( p value, 0.001) with a mean+- SD of 2.42+- 0.497 in Group I and 4.40+- 0.616 in Group II. Hemodynamic parameters were found to be better controlled in the powerpoint group during the intraoperative period. Patient’s Satisfaction Score among the patients in both groups was found to be statistically significant (p value, 0.001) with a mean+- SD of 2.47+- 0.724 in Group I and 3.90+- 0.68 in Group II respectively. Conclusion: Preoperative information using multimedia tools is interesting, easy to use and interactive for the patient. It is easily retained and helps develop a virtual scenario for the patient in order to decrease their unfamiliarity with the operation theatre environment, anaesthesiapersonnels and procedure. The present study shows that patients who are preoperatively informed using multimedia powerpoint presentation preoperatively have lesser anxiety, good cooperation and better satisfaction towards OT experience, spinal anaesthesia and better hemodynamic control.