Abstract
This study describes the roles of anesthesiologists in efficient perioperative management. Surgical services are the largest source of revenue for acute care hospitals, and anesthesiologists need to play a central role in the efficient management of operating rooms. Standardization is a prerequisite to achieve efficiency. Standardization may include not only structure, design, and management of operating rooms ; management of medical equipment and supplies but also perioperative management modalities such as ERAS protocol. However, the promotion of efficiency may compromise safety. As leaders of the perioperative management team, anesthesiologists must contribute to faster recoveries and shorter hospital stays of patients, and they must also aggressively practice the safety measures of perioperative management.