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Background and aim: Although the current era of surgical anesthesia and less complications than in the past and have become more successful, but anxiety before surgery still remains. Anxiety, worry is looking kind of a perceived threat or danger is caused by the individual and can increase or decrease a person's ability to understand, to be effective. Methods: This descriptive study in 2013 on 120 Patients in hospital operating rooms Kashani hospital was done. Adults randomly systematically selected. Measure anxiety, the questionnaire was used. Results: The results showed that the highest levels of anxiety-related concerns before surgery (13/15%), stress care taken in the (12/19%), stress factors related to operating room staff (10/35%) and physical stressors in the operating room (7/62%), respectively. Conclusion: The findings of this study suggest that the identification of factors affecting preoperative anxiety and the fact that some of these factors can be overcome Suggested using a variety of methods for determining patient education and training program in order to minimize anxiety.