This study is looking at whether listening to music during a nail biopsy can reduce pain and anxiety. Patients scheduled for a nail biopsy at the Weill Cornell Medicine dermatology clinic will be randomly assigned to either listen to a calming instrumental/classical music playlist during their procedure or receive standard care without music. After the procedure, participants will complete short questionnaires rating their pain, anxiety, and overall satisfaction. The goal is to determine whether a simple, low-cost music intervention can improve the experience of patients undergoing nail biopsies.

Inclusion Criteria:

• Male or female ≥18 years of age
• Scheduled to undergo nail biopsy at the Weill Cornell Medicine dermatology clinic
• Able to provide informed consent
• Able to read and understand English

Exclusion Criteria:

• Significant hearing impairment that would prevent ability to hear the music intervention
• Cognitive impairment that would prevent completion of study questionnaires
• Unable or unwilling to provide informed consent