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Background: Anxiety is an unpleasant feeling that generally causes physiological symptoms such as trembling, sweating, increased heart rate and psychological symptoms. Preoperative anxiety causes an increase in postoperative pain, postoperative infections, progression of malignant tumors, and worsen postoperative conditions. The types of media used in learning can shape tangible experiences on the aimed learning. Purpose: To determine the effect of Spiritual Emotional Freedom Technique (SEFT) on the level of anxiety of spinal preanesthesia in Sleman Hospital Yogyakarta. Method: The study was conducted with quasi-experimental one group pre-test and post-test design with control design. The treatment was giving video testimonials, using purposive sampling with a total of 42 respondents divided into intervention groups and comparison groups undergoing spinal anesthesia at Sleman Hospital Yogyakarta . Result: Anxiety level testing was done by paired t-test to determine the differences in groups in pairs obtaining significance value p value = 0,000 (p <0.05). Conclusion: The treatment of the Spiritual Emotional Freedom Technique (SEFT) affects the level of anxiety of spinal pre-anesthesia patients in Sleman Hospital Yogyakarta .