How important is the position of an anesthesiologist in a surgery? In the United States, anesthesiologists are highly valued because they are responsible for saving and preserving patients’ lives and are well treated compared to other specialties. However, in our country, the status and role of anesthesiologists within the hospital is still based on whether the director himself has a comprehensive understanding of anesthesia expertise. And it is true that anesthesiologists are not widely recognized in the profession. Many people, even many people who are themselves in the medical profession, lack a rational understanding of the anesthesia profession. Many medical accidents or errors are partly attributed to a lack of attention to the anesthesia specialty. So with I want to know how important is the position of the anesthesiologist in a surgery and why is it so important? Many Americans think that the job of an anesthesiologist is just to give a patient a shot and sleep, so simple, how come the salary is the first (average salary) in the U.S. medical profession? There should be a pay cut. So there was a very lively TV debate. The vast majority of guests, overwhelmingly, supported a pay cut for anesthesiologists. At this point, the anesthesiologist present at this debate famously said, “I actually got this shot for free ……” and the room immediately fell silent. He went on to say, “I give this shot for free, and the fee I charge, and the salary I take, is nothing more than watching the patient after the shot, not letting him or her die from anesthesia or surgical bleeding, and making sure they wake up safely at the end of the procedure. If you think I’m getting paid too much, that’s fine, I’ll just give the shot and leave.” Since then America has stopped debating whether anesthesiologists are paid too much. In the modern world, surgical anesthesia seems to be as simple as sleeping through the night. The safety of surgery and anesthesia seems to have been taken for granted since time immemorial. In fact, until more than 100 years ago, surgical openings, even for procedures such as appendicitis, which can be done by today’s junior doctors, were tantamount to gambling with the lives of doctors and patients at that time. The atmosphere of the early operating room was very different from the quiet and meticulous operation under the shadowless lights that people feel today. Under the silhouette of the knife, the patient wails and blood is dripping all over the floor. Whether it was surgery or anesthesia, it was extremely primitive. In the last 50 years, the development of surgery and anesthesia has made surgery a routine medical treatment that most people can tolerate, and all kinds of organ transplantation, cardiovascular and neurosurgery can be carried out safely. Is the anesthesiologist important? For the patient undergoing surgery, the most pressing expectation is that it will be safe and painless. For the surgeon, it is the need for smooth and good operating conditions. The importance of anesthesiologists is actually proportional to the size and level of the medical institution. The larger the hospital, the more critical patients there are, the more important the anesthesiology department is. Conversely, without a good anesthesiology department, the level of the hospital will not be too high, or at least in layman’s terms, a high level of critical care emergencies and surgical procedures will not be possible. A good hospital and a good anesthesiology department are inseparable. Instead of saying how important the anesthesiologist is in the operation, it is better to say what role the anesthesiology department plays in the whole perioperative period from preoperative to postoperative. 1. Pre-operative assessment and management: Surgery is always a major trauma to the human body. Life is a long run, and surgery and trauma is one of the extraordinarily difficult interludes. Whether the human body can withstand the blow. Before surgery, the patient’s cardiopulmonary function reserve, underlying diseases, and abnormalities that need to be corrected all depend on the anesthesiologist’s clinical diagnosis, assessment, and treatment. 2.Intraoperative anesthesia and support: For any kind of surgery, patient safety and pain relief are the basic requirements of anesthesia, while for those major surgeries and patients in poor condition, the monitoring and treatment by anesthesiologists maintain the life of patients who may be lost in every minute and second. Anesthesia maintains one of the highest nurse/patient ratios of any medical specialty. A patient’s surgery requires the constant attention of at least two anesthesiologists or nurses, because even the simplest surgery has the potential to be dangerous at any time. 3. Postoperative care: Today’s anesthesia has gone beyond intraoperative management to cover postoperative series of support. Critical care medicine was first established under the leadership of anesthesiology around surgery and trauma, which are surgical problems. Of course, today’s critical care medicine has far exceeded its original scope. 4.Pain treatment: Modern anesthesia and pain treatment have expanded from the original trauma and surgical pain relief to an independent discipline separate from traditional medicine and surgery. All acute and chronic pain (trauma pain, back and leg pain, neuralgia, tumor pain, central pain) are the specialty of pain medicine. It is only in China that this is still a new thing.