Almost all plastic surgery procedures require some form of anesthesia. Depending on the type of procedure, the physician’s recommendation, your overall health, and your preference, you may receive either local anesthesia, "twilight sleep," which is local anesthesia combined with IV sedation, or general anesthesia. The type of anesthesia will be discussed in detail with an anesthesiologist before surgery as part of the routine pre-surgical process. The anesthesiologist will be able to answer any questions or concerns you have about your anesthesia options at that time.