Background: Awareness under general anaesthesia (AAGA) is still an uncommon yet worrying occurrence that might cause post-operative psychological anguish. The prevalence, risk factors, and preventative measures for AAGA are all investigated in depth in this research.Objective: This This review will describe the likelihood of consciousness while under general anaesthesia, and how to prepare for consciousness during surgery to reduce the risk of psychological complications after the procedure.. Conclusions: The best It seems that a dynamic mix of factors is the best technique for avoiding consciousness during anaesthesia. There are fewer preventative measures available during the emergence phase as compared to the induction and maintenance phases (e.g., use of short-acting BDZs in premedication to prevent AAWR at the induction). However, even at the emerging stage, there are very few practical ideas that may be especially successful at preventing this issue. The best method will include both the detection of high-risk patients and the implementation of suitable anaesthetic management measures. The use of instruments for monitoring and the cautious delivery of medications are examples of preventative measures. Neuromuscular monitoring by quantitative approaches is crucial since most instances of emerging consciousness can be related to a failure of neuromuscular recovery with a patient in complete recovery of consciousness.