The Specialty Behind Every Surgery
Anesthesiology Care Tailored to Your Procedure
Every procedure performed at the Center for Specialty Surgery, from a knee replacement to a dental extraction, depends on the anesthesia team behind it. Anesthesia care is part of every procedure at Center for Specialty Surgery. We employ physician anesthesiologists, medical doctors trained specifically in anesthesia, and every one of them is board certified.
We're an accredited, Medicare-certified surgery center in Portland built specifically for outpatient surgery since 2003, and the type of anesthesia you receive is chosen for your procedure, your health history, and your own preferences, not applied as a one-size-fits-all default. Many of our regional and nerve block techniques are also chosen deliberately to reduce how much narcotic pain medication you need once you're in recovery.
If you have questions about what kind of anesthesia your upcoming procedure will involve, your surgeon's office can tell you what to expect, or you're welcome to call us directly at (503) 906-4300.
A Technique Matched to Your Procedure
What You Should Know About Anesthesia Here
The Types of Anesthesia We Provide
Anesthesia isn't one single thing. It's a range of techniques matched to the specific demands of your procedure. Our physician anesthesiologists provide:
Peripheral nerve blocks, which numb a specific area, like a shoulder or leg, often paired with lighter sedation to reduce pain after surgery
Regional nerve blocks, a broader numbing technique sometimes used for larger procedures
Monitored anesthesia care (MAC), a combination of local anesthesia and IV sedation that keeps you comfortable and relaxed without full general anesthesia
General anesthesia, which puts you fully asleep for more involved procedures
Epidural anesthesia, which numbs the lower body, most often used for certain spine and lower-body procedures
Local anesthesia, which numbs only the specific area being treated, often used for minor procedures performed while you stay fully awake
Your anesthesiologist decides which of these fits your procedure, working directly with your surgeon.
Meeting Your Anesthesia Team
Before your procedure, your anesthesiologist will review your health history, including any past reactions to anesthesia, current medications, and any conditions that might affect which technique is safest for you. This conversation typically happens either during a pre-operative phone call or in person on the day of your procedure, depending on how your surgery is scheduled.
Every anesthesiologist at the Center for Specialty Surgery is a physician, trained specifically in anesthesia, and board certified. They work alongside your surgeon throughout your procedure, from the pre-operative conversation through your time in recovery.
What to Expect Before, During & After
Before Your Procedure. You'll typically speak with your anesthesiologist, either by phone in the days before your surgery or in person on the day of, about your health history, current medications, and any previous experiences with anesthesia, including complications or allergies.
The Day of Your Procedure. Once you're in our pre-operative area, a nurse will start an IV and get you ready for surgery. Your anesthesiologist will confirm the anesthesia plan with you directly before you're taken into the operating room, where monitoring devices track your heart rate, blood pressure, and oxygen levels throughout your procedure.
After Your Procedure. You'll move to a recovery area staffed by a dedicated nurse while the anesthesia wears off. It's common to feel groggy, mildly nauseated, or a little lightheaded for a few hours afterward; these effects typically fade within the day. If you received sedation or general anesthesia, you won't be able to drive yourself home, so you'll need a family member or friend to pick you up.
Understanding the Risks
Like the surgery it supports, anesthesia carries its own risks, and we think you deserve a straightforward answer about what those are rather than reassurance alone. Possible risks include nausea, a sore throat from a breathing tube used during general anesthesia, an allergic reaction, and, rarely, more serious complications related to your heart, breathing, or an underlying health condition. Regional and nerve block techniques carry their own smaller set of risks, including temporary numbness or weakness beyond what's intended, or, rarely, nerve irritation.
Your anesthesiologist reviews your specific risk factors, including your health history and any medications you take, before recommending which technique to use. If you have specific concerns, especially a past reaction to anesthesia or a family history of anesthesia complications, tell your anesthesiologist directly before your procedure.
Why Patients Trust Us With Their Anesthesia Care
The Center for Specialty Surgery has provided anesthesia care since 2003, accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) and certified by Medicare. Every anesthesiologist here is board certified, and our infection and complication rates are tracked every quarter and reported publicly. We've also been recognized among Newsweek's Best Ambulatory Surgery Centers(opens in a new tab) in Oregon in 2025, 2026, and 2027.
Frequently Asked Questions
What's the difference between general anesthesia and a nerve block?
General anesthesia puts you fully asleep for your entire procedure. A nerve block numbs a specific part of your body while you remain awake or lightly sedated, depending on the procedure. Your anesthesiologist recommends whichever fits your surgery, and for many orthopedic procedures, a nerve block is used alongside lighter sedation rather than full general anesthesia.
Will I be completely unconscious during my procedure?
Not necessarily. Many procedures use monitored anesthesia care or a nerve block, which keep you comfortable and relaxed without putting you fully under. Your anesthesiologist will tell you in advance what to expect for your specific procedure.
How do I know which type of anesthesia I'll receive?
Your anesthesiologist reviews your procedure and health history before recommending a specific technique, and will confirm the plan with you directly before your surgery. If you have a preference or a past experience with anesthesia you want them to know about, bring it up during that conversation.
Is anesthesia safe?
Anesthesia is generally very safe, especially for healthy patients undergoing outpatient procedures, though like any medical care, it carries some risk. Every anesthesiologist at the Center for Specialty Surgery is a board-certified physician who reviews your specific health history beforehand to choose the safest approach for your procedure.
Does insurance cover anesthesia separately from my surgery?
Yes. Anesthesia is billed separately from your surgeon's fee and our facility fee. We accept most major insurance plans; visit our Insurance page for the full list, or call our billing team with specific coverage questions.
How do I get scheduled with an anesthesiologist near me?
Anesthesia is scheduled as part of your overall procedure at the Center for Specialty Surgery, not separately. If your surgeon has scheduled your procedure here, an anesthesiologist is already part of your care team. Questions in the meantime? Call us at (503) 906-4300. We look forward to taking great care of you!
Questions About Anesthesia?