Objective: In this study, finger replantations which were performed under digital block anesthesia (DBA) (Group II) or under general anesthesia (GA) (Group I) were retrospectively compared in terms of time to operation, the duration of ischemia and post-operative survival rate. In the literature, we found only 2 studies on finger replantation under DBA. However, we could not find any study in the literature, comparing finger replantations performed under GA and DBA. Method: In our clinic, between the years of 2005 and 2014, a total of fifty patients (with a total of 54 effected fingers) who underwent finger replantation or revascularization at the level of metacarpophalangeal (MF) joint and its distal were enrolled for the study. Patients were divided into two groups that were categorized as GA (Group I) or as DBA (Group II) according to the anesthesia method used. For digital block processing, a combination prepared in half with 1 to 4 ml of epinephrine-free Lidocaine 2% and Bupivacaine 0.5% was used. In this study, the demographics, operative and clinical follow-up information of the patients were obtained from the patient files. Furthermore, photographs and replantation follow-up forms, which were drafted at the clinic, were also utilized as well. Results: There was no complication observed due to the application of GA or DBA in any of the patients. Patients in Group II were found have a lower operation readiness period, which resulted in the operations being performed significantly earlier as compared to the other group (p=0.048). It was also observed that ischemia durations of the fingers in group II were significantly shorter (p=0.003). It was determined that all three variables including delivery to the emergency department (ED) (p<0.01), start of the operation (p<0.01) and operational time (p<0.01) significantly affected ischemic time. The rate of failure in replantation operations which were performed in Group I (39.2%) was more than two times as compared to Group II (19.2%). Conclusion: In addition to the additional benefits it provides, DBA can shorten time to the operation, thus the duration of ischemia, which leads to an increase in the success rates. For this reason, this method can be safely used in cases that meet the specified conditions.