Purpose <p>In recent years, the number of patients undergoing transurethral resection of the prostate (TURP) with spinal anaesthesia has increased. This technique is preferred because it is safe, easy to administer, cost-effective, and provides adequate muscle relaxation while preserving consciousness.</p> Design <p>This study employed a qualitative descriptive design.</p> Methods <p>The sample consisted of 17 patients who underwent surgery under spinal anaesthesia in a training and research hospital. The study was conducted using criterion sampling and face-to-face interviews. Data were collected on the first postoperative day using a patient information form and a semi-structured interview form. Data were analysed using reflexive thematic analysis. Patients’ responses were coded, organized into potential themes, and reviewed to ensure they reflected the core meanings of participants’ experiences.</p> Findings <p>Four main themes emerged from the analysis: <i>Awareness Without Agency: Emotional Responses</i>, capturing the emotional impact of being conscious yet unable to intervene during surgery; <i>Operating Room Environmental Chaos: Discomfort from Cold</i>,<i> Noise</i>,<i> and Light</i>, highlighting sensory conditions that heightened anxiety; <i>Privacy Concerns: The Burden of Awareness in the Surgical Field</i>, reflecting feelings of exposure and vulnerability; and <i>Peace in Awareness: Inner Trust and Sense of Control</i>, emphasizing the reassurance derived from clear communication and conscious involvement.</p> Conclusions <p>The findings revealed that patients undergoing TURP under spinal anaesthesia experienced emotional and sensory responses shaped by awareness, environmental conditions, privacy concerns, and perceived communication, with both distressing and reassuring effects. In addition to supporting patients’ physical well-being during surgery, the operating room team should address the emotional and social needs of vulnerable patients.</p>