The concept of “humanistic care” is a philosophical and ethical concept, and its introduction marks the rise of China’s understanding of health reform to a rational level. The development of modern medicine has promoted the change of medical model. In the 1970s, American scholar Engel proposed the change from biomedical model to biopsychosocial medical model, that is, from the “disease-centered” to “patient-centered” and then to “human-centered”. In the 1970s, the American scholar Engel proposed a shift from the biomedical model to the biopsychosocial medical model, that is, from the “disease-centered” to the “patient-centered” and then to the “human-centered”. It is advocated that human health problems should always be understood in the context of biological, psychological and social factors related to human beings. I. The concept of humanities and humanistic care What is “humanities”: The word “humanities” originates from the Latin Humahiras, and its core idea is to take people as the starting point and destination of all activities, and people are the first. “Humanities” is a concept with a rich connotation that is difficult to define clearly, as explained in the Dictionaries (1st edition, 2002): “Civilization is the humanities. The word “civilization” refers to the various cultural phenomena of human society. It is difficult to find an authoritative explanation for “humanistic care”, but its essence is closely related to human dignity, human value, human rights, human heart, human ideal, human fate, human spiritual life, and human independent personality, etc. The ultimate goal of humanistic care is to take care of human spirit, and humanistic care does not have the technical care. “Humanistic care does not have the practical efficacy of technical care, but has a more fundamental function of “casting spirituality”, which is a qualitative leap from material to spiritual. In ancient China, there is the saying “medicine is benevolent art”, “benevolence” refers to the ideological virtue of caring for people, that is, the humanistic care advocated nowadays. Anesthesia is a relatively passive, short, worrying and risky stop in the process of patient care. The working environment of anesthesia is special, and most of it is carried out in the operating room, which is a completely unfamiliar environment for patients. 80% of patients will have different degrees of anxiety, fear and anxiety when they enter the operating room and face cold machines and medical staff in surgical gowns, masks and hats. Anesthesia work is required to be aseptic, isolated and exclusive, and the presence of patients’ families is not allowed, lacking affectionate care. The accidents, incidents and complications of anesthesia have the characteristics of an airplane ride, showing the characteristics of “all or nothing”, either everything is smooth and smooth, or it will be dangerous, abnormal and sudden, and the patient will either die or be disabled. At present, in developed countries, the mortality rate of anesthesia is still 1:10,000, and the incidence of serious complications (heart failure, heart attack, pulmonary edema, pneumonia, coma, paralysis, etc.) is 0.7-22%. Anesthesiologists and humanistic care The contact time between anesthesiologists and patients is short, and the nature of their work is that they have daily contact with multiple patients undergoing surgery, which has the characteristics of “short, flat and fast”. However, the anesthesiologist plays a very important role in the perioperative period of the patient and has a significant impact on the patient’s psychological factors, mental outlook, and even the return of the disease. Anesthesiologists need to give humanistic care to patients, specifically in three aspects: preoperative, intraoperative and postoperative. In the perioperative period, except for a few patients who are confident and optimistic, most of them will have different degrees of fear, doubt, anxiety or depression and other psychological activities. According to the analysis of the mental status of 500 preoperative patients, 60% of the patients had various doubts about surgery and were in urgent need of answers; more than 50% of the patients were afraid; 31% of the patients were worried that surgery would be detrimental to their future health; 38% of the patients were afraid of life-threatening surgery; 17% of the patients had fear of anesthesia: 12% of the patients were concerned about postoperative pain and vomiting [4]. Neglect of mental preparation, relying solely on a large number of preanesthetic drugs, is sufficient to put patients into a drowsy state, but sometimes causes serious side effects such as ataxia, restlessness, respiratory and circulatory depression, and agitation and excitement during the awakening period. Anesthesiologists should attach great importance to the preoperative patient visit. This allows for a full understanding of the condition, the patient’s general condition, and the development of an ideal and appropriate anesthetic plan according to the proposed surgery. In the process of questioning, the patient’s state of mind can be understood, the patient’s questions can be answered, the patient’s concerns about anesthesia and surgery can be alleviated or eliminated, the general knowledge of anesthesia and its advantages and disadvantages can be explained and a signature system can be implemented. I went to the Northern Hospital, Southern Hospital, Maternity Hospital and Eye Hospital of Jules Verne University Hospital in Amiens, France, where the anesthesiologists attached great importance to the preoperative visit and examination of patients. The anesthesiology departments all have PRE–ANESTHESIQUES consultation rooms, where patients go to PRE–ANESTHESIQUES after seeing the outpatient clinic for the relevant disease, and the anesthesiologists have to conduct detailed consultations, examinations, and fill out various forms and documents, even for minor procedures like painless abortions. The patient is formally admitted to the hospital, and the anesthesiologist also visits the patient before the operation. On the contrary, most anesthesiologists in China do not pay attention to the preoperative anesthesia work, and do not see the patient before the operation or have others see him/her on their behalf, and even if they visit the patient, they act in a hurry, with only a few words, just to fulfill the signature of an anesthesia agreement, and cannot communicate with the patient at all. One of the reasons for this is that our clinical anesthesiologists have a large workload and do not have ample time to visit preoperative patients. Often the end of the first day’s work, nearly off duty or has been over the point, so that it is impossible to visit the preoperative patients; secondly, the author believes that the most fundamental reason is not to pay attention to this work, anesthesiologists only technical theory of supremacy, ignoring the preoperative understanding of the condition and communication with the patient, the department’s arrangements are arbitrary, can not guarantee the preoperative visit work of anesthesiologists. The anesthesiologist’s lack of understanding of the patient’s condition and general condition is an important cause of anesthesia accidents. 2, pay attention to the humanistic care of patients in anesthesia and surgery Patients due to fear, poor rest in the night before surgery, insomnia, clean enema, catheter insertion and other factors, resulting in the patient into the operating room, poor spirit, slow response, can not cooperate well with the anesthesiologist. At this time, the anesthesiologist should not treat the patient in a rude and hard manner, such as urging the patient to undress, get on the operating bed, and place the anesthesia position. Instead, he or she should kindly and amiably tell the patient what to do and take the initiative to help the patient to complete the anesthesia. During anesthesia and surgery, one should not laugh, chat, or talk about topics unrelated to anesthesia and surgery. For non-general anesthesia, intraoperative intravenous assistance should be used as much as possible to let the patient sleep quietly and relieve his anxiety and fear. Application of midazolam to achieve paracrine amnesia, so that patients forget anesthesia, intraoperative some malignant stimuli and memories, so as to avoid leaving unpleasant memories. 3, pay attention to the humanistic care of postoperative patients Most hospitals in China do not have anesthesia recovery room (PACU), so they can only emphasize the safety and effectiveness of anesthesia and the short awakening time of anesthesia, ignoring the patient’s comfort and psychological response. According to the survey, the most painful events of general anesthesia patients during the whole operation are various discomforts in the recovery phase of anesthesia, in the order of tracheal tube, pain, mechanical ventilation, fear and anxiety, aspiration, violent coughing, catheter, etc. The anesthesiologist should allow the patient to wake up comfortably and naturally, rather than using wake-up drugs, endotracheal stimulation, and other means to induce wakefulness. As a result of steep awakening, on the one hand, the patient will have psychological reactions such as nervousness, fear and anxiety, and on the other hand, the effect of analgesics will be antagonized and the patient will feel pain and discomfort. In recent years, postoperative patient-controlled analgesia (PCA) has been better developed, which can reduce or eliminate patients’ pain and discomfort and stabilize patients’ mentality and emotion. Postoperative analgesia is very necessary both in humane and humanistic aspects and in clinical sense. Fourth, humanistic care is the best way to resolve the conflict between doctors and patients. The survey shows that the top four factors affecting patient satisfaction are: medical skill (30.1%), humanistic care (26.8%), cost (18.4%), logistics and food (14.7%). The stratified analysis shows that patients are most concerned about hospitals in terms of medical technology and humanistic care. A survey of 4,753 consumers in 10 cities in China showed that among 21 major production and service industries, 1/4 of them thought that hospitals had the coldest faces, and the medical industry was the “coldest boss”. In the biomedical model, the concept of technology is formed, and the medical process is seen as a single technical process, and the doctor-patient relationship is understood as a single technical relationship. It makes medicine objectified, lost the proper human nature, medicine becomes cold and vulgar, “the original relationship between people and people has become the relationship between people and money, the relationship between people and machines, the consequence is the emotional indifference of some medical personnel. With the conversion of the modern medical model, the sandstorm of technical worship is subsiding, and the problem of serious anemia in humanistic care is beginning to attract attention from all quarters. Physician-patient communication is a language art, and different language applications can create different communication effects [10]. Doctors rely on the advantages of their profession and stand in a dominant position to communicate only briefly with patients, and their supreme authority, non-negotiable and reprimanding attitude seriously hurts the human dignity of patients and makes the doctor-patient relationship increasingly tense. In fact, many patients are dissatisfied with the hospital not because of the medical technology itself, but not get due respect and care, feel in the hospital by the “nest”, “slow”, etc., in this scenario, once the anesthesia has some mistakes, errors or normal In this scenario, once the anesthesia has some mistakes, errors or normal complications, then doctor-patient disputes are bound to occur. Patients are “human beings” who are sick and have emotional needs and need humanistic care. Anesthesiologists should not only have excellent skills, but also give enough respect and sympathy to patients, be good at communicating with them, be caring and full of humanity, seek emotional empathy with them, and meet the needs of patients and their families as humanely as possible – physical, psychosocial and spiritual needs, so that they can feel the warmth of anesthesia medicine. The warmth of humanity. To conclude, I would like to borrow the words of Milan Kundera: humanistic care is a tree full of possibilities, and if we take care of it, it will grow fruitful.