Office based anesthesia proved to have several advantages mainly being more economic and comfortable for most patients. Several reasons are responsible for the shift to office based anesthesia including the less invasive surgical techniques, the availability of shorter acting drugs, improvement in pain relief techniques and the preference of patients for avoidance of hospitalization. Different techniques used in office based anesthesia starting from selection of patients, administration of anesthesia whether general or regional with or without sedation till the criteria for discharge of patients were discussed.