Anxiety is an inner emotional reaction. Surgery is a heavy source of stress for patients. Surgical stress relates to and affects the level of pre-operative anxiety. This project aimed to reduce pre-operative anxiety among orthopedic surgery patients. It was found in the current analysis that the patients’ preoperative anxiety level was 8.7 (out of 10). The reasons were found as patients being unfamiliar with the surgery process and post-operative care, nurses with inadequate recognition of patients’ anxiety, inconsistent education provided to patients, and lack of education standards. By means of providing inservice education, developing pre-operative education checklists and supervisory system, establishing operation process disks and educational nursing care guidelines, the pre-operative anxiety was reduced from 8.7 to 3.4. The implementation rate of pre-operative education also increased from 82% to 95.5%. The project effectively reduces the patient's anxiety level. The outcome of this project can be used as a reference for clinical nurses when caring pre-operative patients to improve the quality of medical care.