Fracture surgery requires general anesthesia in the following cases: vertebral fracture, scapular fracture, the patient does not cooperate with other anesthesia can not be used, the use of other anesthesia is not effective. Most of the finger and toe fractures can use local anesthesia; most of the upper limb fracture surgery can use brachial plexus anesthesia, it is worth noting that bilateral upper limbs are strictly prohibited at the same time for brachial plexus interosseous groove block anesthesia. Most of the lower limb fractures, surgery can be used intrathecal anesthesia or lower limb nerve block, can also choose general anesthesia, of which intrathecal anesthesia requires patients to position with the patient, for trauma and blood loss patients and elderly patients, the impact on the circulation is relatively large. Lower extremity nerve block also needs the patient’s position to cooperate, its effect is slower, need nerve stimulation localizer or ultrasound, the advantages of circulatory and respiratory effects are relatively small, the anesthetic reaction is relatively light. In conclusion, the choice of anesthesia should be the safest, conducive to the smooth implementation of the operation, the systemic impact of small anesthesia.