BACKGROUND: The emotional strains associated with impending cesarean sections pose significant challenges for primigravida women, potentially exacerbating anxiety levels and impacting overall well-being. Virtual reality (VR) technology has emerged as a nonpharmacological method for reducing preoperative anxiety. OBJECTIVES: This study aims to investigate the effectiveness of VR in reducing preoperative anxiety in primigravida women undergoing cesarean sections. DESIGN: This is a quasi-experimental study involving 38 first-time pregnant participants undergoing cesarean surgery. METHOD: In this study, 38 first-time pregnant women undergoing cesarean surgery were divided into two groups: an intervention group ( RESULTS: The intervention group experienced a significant reduction on average anxiety scores (11.63 ± 4.16) compared to the control group (14.78 ± 3.18) following the intervention. Within the intervention group, there was a statistically significant decrease in anxiety levels before and after the intervention ( CONCLUSION: This study demonstrates that VR technology is an effective and nonpharmacological method for reducing preoperative anxiety in primigravida women undergoing cesarean sections. The findings highlight the potential of VR interventions to improve patient well-being, offering an accessible, cost-effective solution for anxiety management in healthcare settings. These results underscore the transformative role of VR in enhancing the preoperative experience and supporting positive surgical outcomes.