To determine if a virtual reality simulation will reduce pain and anxiety in patients undergoing an ultrasound guided breast localization procedure (traditional wire, savi scout or a radiofrequency identification tag).
Inclusion Criteria: * Informed consent is obtained from the patient * Females ≥ 18 years of age * Patient is schedule for preoperative ultrasound guided breast localization procedure Exclusion Criteria: * Patient is scheduled for or switched to a stereotactic localization procedure * The patient has motion sickness * The patient has severe cognitive disabilities or language barriers that inhibit study form completion in English * Refusal of patient to sign consent