Background: Anxiety before surgery is common and may disturb physiological stability and recovery. Because sedative drugs can cause side effects, safe non-pharmacological strategies are needed. Virtual Reality provides immersive distraction, while Benson relaxation promotes a calming response through controlled breathing. Objective: To determine whether combining Virtual Reality and Benson relaxation reduces anxiety in patients awaiting elective surgery. Methods: A quasi-experimental pretest–posttest study with a non-randomized control group involved 44 patients selected through purposive sampling. Twenty-two participants received Virtual Reality combined with Benson relaxation, and 22 received routine preoperative care. Anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) before and after the intervention. Results: Anxiety decreased more in the intervention group. Posttest scores averaged 14.18 ± 4.594 versus 17.91 ± 4.587 in controls, with a mean difference of −3.727 (95% CI: −6.521 to −0.934; p = 0.010). Conclusion: The combined intervention was more effective than standard care in lowering preoperative anxiety. Nursing for Implications: Nurses may apply this approach to improve emotional comfort and readiness for surgery.