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In recent years, online gaming has transformed from a niche activity to a global phenomenon, attracting millions of players from all walks of life. While gaming can offer entertainment, social connectivity, and even cognitive benefits, it also harbors a darker side that is increasingly difficult to ignore. For some individuals, the virtual worlds they immerse themselves in become more than just a pastime; they evolve into an all-consuming obsession that can lead to

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65 (6.83); group 2 77.76 (10.19)), as compared with the control group (57.70 (12.49); P  less then  0.001). Subjective comprehension and anxiety levels did not differ between experimental groups and control group. CONCLUSIONS 3D virtual reality can help surgeons and patients in building a better relationship before surgery; immersive 3D-supported informed consent improves patients' comprehension of their condition without increasing anxiety. This new paradigm may foster trust between surgeons and patients, possibly restrain