Interactive walkthrough · ~3 minutes · By an anesthesiologist

What does an anesthesiologist do? Walk through your surgery day with me.

I'm the doctor you meet for ten minutes and then trust with everything. Here's your whole day, step by step — what's happening to you, what I'm doing the entire time, and one steadying tip at each stage.

Quick answer

An anesthesiologist stays with you for the entire operation, continuously monitoring your heart, blood pressure, oxygen, breathing, temperature and depth of anesthesia, and adjusting medicines second by second. Falling asleep takes 15–30 seconds after the IV medicine; any breathing tube goes in after you're asleep and comes out before you're aware. Pain and anti-nausea medicines are given before you wake, and you're handed to a recovery nurse who checks you every few minutes.

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Medically reviewed by Dr. Saurabh Shukla, Anesthesiologist · Last updated July 6, 2026

Frequently asked questions

What does an anesthesiologist actually do during surgery?

We stay with you for the entire operation — usually at your head — continuously monitoring your heart rate and rhythm, blood pressure, oxygen, breathing, temperature and depth of anesthesia, and adjusting medicines second by second. We secure your breathing after you're asleep, manage fluids, and give pain relief and anti-nausea medicines before you wake so you wake comfortable. Putting you to sleep is a few minutes of the job; keeping you safe and waking you up well is the rest of it.

Does the anesthesiologist stay for the whole operation?

Yes. An anesthesia professional never leaves you during surgery. Continuous monitoring and adjustment is the core of the job — you are never unattended while under anesthesia.

How long does it take to fall asleep from anesthesia?

Once the medicine enters your IV, usually 15–30 seconds. Most people notice a cold feeling in the arm, sometimes a metallic taste, and then nothing — the next memory is the recovery room.

Will I feel the breathing tube?

No. If your anesthetic needs one, it's placed only after you're fully asleep and removed before you're properly awake. A mild sore throat or hoarse voice for a day or two afterwards is common and settles on its own — and not every anesthetic needs a tube.

What's the difference if I'm having sedation or a spinal instead of general anesthesia?

With sedation you're deeply relaxed and drowsy rather than fully unconscious. With a spinal or regional block the surgical area is made completely numb while you stay awake or lightly sedated. The monitoring is the same — an anesthesia professional watches you continuously whichever type you have.