The basis for the development of modern surgery was anesthesia, blood transfusion and asepsis. Thus, in a sense, without anesthesia, there would be no development of modern surgery, much less plastic surgery as it is today. When considered from this perspective, the importance of anesthesia cannot be overemphasized. Doctors pay special attention to anesthesia from the point of view of surgical safety, while patients are often worried and fearful of surgical pain from the bottom of their hearts. Therefore, both doctors and patients demand a good anesthetic bout. Some patients even ask the doctor to “anesthetize well” during the surgery, and it is better to “sleep” while the doctor does the surgery. So, what are the requirements for anesthesia for rhinoplasty? Which type of anesthesia is the safest to choose? Is general anesthesia the safest? First of all, let’s do a preliminary understanding of pain (including surgical pain), the medical profession has a level of pain judgment, generally speaking, from light to heavy is divided into 10 levels, 0 for no pain; 1 ~ 3 level for mild pain; 3 ~ 5 level for moderate pain: 5 ~ 7 level for the heavier degree of pain; 7 ~ 9 level of severe pain; 10 level for severe pain. The vast majority of plastic surgery procedures are on a scale of 3, far less painful than a broken bone or labor pain. Therefore, under good anesthesia, the procedure is guaranteed to be painless and the patient should not worry too much about it. From the point of view of patients’ easy understanding, anesthesia methods can be divided into 3 types: local anesthesia, sleep anesthesia, and general anesthesia. And from the medical point of view to distinguish, in fact, is the local infiltration anesthesia and general anesthesia two categories. 1, local anesthesia (referred to as local anesthesia): that is, the anesthetic drug is injected in the surgical area, or a group of nerves innervating the surgical area where the part of the region, so that the whole rhinoplasty surgery in the region to get full anesthesia. During the surgery, the patient can feel the surgeon’s pulling and other operations, but will not feel pain. Moreover, the patient is always awake during this anesthesia. The drugs used for local anesthesia are mainly lidocaine, procaine, bupivacaine, and bupivacaine. In order to minimize bleeding during the procedure, a small amount of epinephrine, a hemostatic drug, is added to the local anesthetic. These medications generally maintain satisfactory anesthesia for 2-6 hours. There are many benefits of local anesthesia, such as: small effect on breathing, heart, safety, easy to operate, rapid onset of action, quick recovery, few side effects, immediately after the operation can be normal life activities, no anesthetic reaction after surgery. Local anesthesia can solve the pain problem of the vast majority of rhinoplasty patients, such as silicone rhinoplasty, chipped nose, nasal tip reshaping and so on can use local anesthesia. However, patients will prefer sleep anesthesia or general anesthesia because of fear due to wakefulness, intraoperative tension, and poor experience, etc. Many patients will prefer sleep anesthesia or general anesthesia because of fear. In fact, this is a misunderstanding, because after all, the risk of general anesthesia is much higher than local anesthesia, it is recommended to follow the doctor’s instructions for small surgeries, using local anesthesia surgery is better. 2, general anesthesia (including sleep anesthesia, referred to as general anesthesia): general anesthesia can be used for all rhinoplasty projects. Among them, sleep anesthesia is general anesthesia, but many patients figuratively describe the anesthesia process as sleep. This degree of anesthesia is generally shallow, mainly the application of sedative drugs, so that the patient into a sleep state, generally within 5 minutes after the injection into a sleep state, and then injected with local anesthesia, this time no longer feel any pain. This method is suitable for people who are afraid of injections or have a fear of surgery, small rhinoplasty can be operated in this way. For safety, it is also required to start fasting 4 to 6 hours before anesthesia. The strict sense of general anesthesia is the use of anesthesia drugs to produce central nervous system inhibition, the patient’s consciousness disappeared, the loss of general pain, amnesia, reflex inhibition and skeletal muscle relaxation, the patient in the process of surgery, “asleep”. Will not be in the surgical process of thought, there is no local anesthesia state patients will usually have a sense of fear. For rhinoplasty, general anesthesia is used for particularly complex or long surgeries (e.g., rhinoplasty with autologous ribs), and fasting and water fasting must be started 8 hours before anesthesia. In addition, preoperative blood, liver function, urine, electrocardiogram and other related tests must be carried out to ensure the safety of the operation. General anesthesia must be performed by qualified anesthesiologists, this point must be clearly recognized by the candidates. Many people are a little afraid of general anesthesia, speculation that it may be harmful to the human body, because the drug is injected into the human body to control the brain nerves. In fact, general anesthesia drugs on the human brain nerve inhibition are temporary, reversible. After surgery, the anesthetic will gradually be metabolized by the liver detoxification, by the respiratory tract, digestive tract, urinary tract out of the body. And through a large number of clinical studies have proved that, as long as there is no short-term experience of too frequent anesthesia, a single anesthesia is no damage to the brain, and the damage to the human body is not even as bad as drinking too much alcohol. The choice of anesthesia for rhinoplasty is based on the type of surgery, the condition of the patient, the patient’s general condition, and affordability, but also depends on what type of anesthesia the hospital and the doctor who performs the anesthesia has the ability to perform. As a beauty seeker, in addition to understanding the technical level of the plastic surgeon, but also carefully select the anesthesiologist with excellent anesthesia technology, as well as the operating room facilities and equipment is complete, whether the ability to deal with adverse reactions to anesthesia. Therefore, it is important to remind beauty lovers that for the sake of their own safety, plastic surgery should always choose a hospital and doctor with formal qualifications.