A successful outcome in Easthetic surgery depends on many factors including the skill and experience of both the surgeon and the anaesthesiologist and the quality of postoperative care. There is nothing called “minor” anesthesia so preoperative assessment is very essential for the patients undergoing plastic surgery. The best anesthetic technique must make balance between the patient condition, the surgeon needs, the anesthetic plan and the surgical considerations. The patients undergoing esthetic and reconstructive surgery don’t tolerate any complications and the fatal complications may occur due to directly or indirectly to anesthetic management.