The bigger the surgery, the greater the risk, the whole process of the patient’s surgery, the anesthesiologist escort all the way, must always adjust the anesthetic dose and dosage according to the needs of the operation, so that the patient’s life is always maintained at the normal physiological level. However, due to the lack of awareness of some patients about the work of anesthesiologists, they always think that surgery is the business of surgeons and consider the preoperative talk of anesthesiologists as a trivial matter. Dr. Ye Tiehu, chief physician of the Department of Anesthesiology of Peking Union Medical College Hospital, told reporters that he was anxious about this. Anesthesiologists ask patients about their health status before surgery to determine the safety factor of anesthesia dosage, which requires patients to make truthful statements about their health status, but some patients prefer to “take the risk” and do not want doctors to use high-priced anesthetics because of the concern that medical insurance does not reimburse high-priced anesthetics. Some patients believe that there is no need to use complex anesthetics for small surgeries. Dr. Ye corrected: “This is completely wrong. While there is a size of surgery, there is no size of anesthesia, and the anesthesiologist’s use of the drug is to adjust its dosage in a way that makes the patient safe and comfortable.” Dr. Ye gave an example of a patient who underwent ureteroscopy and thought the surgery was small, so he was unwilling to cooperate with the anesthesiologist’s medication, due to the patient’s bad heart, with a heartbeat of only 31 beats per minute, kidney failure, etc. In the operation, as the need for anesthesia drug dosage adjustment to ensure his life safety, but the patient and his family strongly disagree to use anesthesia drugs other than medical insurance, in order to save the patient’s life, the department director for the patient out of the money for the use of drugs. Dr. Ye told reporters that there are always patients and families who do not want doctors to use anesthetics with complex dosage forms because they are worried about paying for medical expenses beyond medical insurance or more, but are afraid because of the life-threatening risks that occur during surgery. “But why is it that preoperative just doesn’t take our words seriously?” He added that with the patient’s understanding and cooperation, the anesthesiologist would be sincerely relieved to see the patient safely pass the entire process of intraoperative and postoperative observation. Since everyone tolerates and reacts differently to anesthetics, accidents and complications inevitably occur during anesthesia, mainly: respiratory and cardiac arrest, respiratory and circulatory depression, vomiting, reflux and misaspiration, nerve damage, etc. There are certain risks with any anesthetic, which is the reason why patients need to have a pre-anesthetic talk and sign before surgery. Dr. Ye cautions patients that if they value their lives, they should consider anesthesia as important as surgery.