I never had a formal appointment in anesthesiology during my medical school and was always on the surgical end of the operating table, but I worked with the Department of Anesthesiology at Wayne State School of Medicine to implement the The advanced recovery program gave me an insight into the field. I spent my extra hours shadowing in the operating room. I realized that the anesthetist does not simply play a supporting role in the operating room, the anesthetist is an equal member of the surgical team - an intensivist whose expertise in supporting vital functions and quick but masterfully considered decisions during the intervention are necessary for other team members to establish a focal point