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Anesthesia plays a critical role in surgical outcomes, influencing both the immediate and long-term recovery of patients. This review explores the multifaceted impacts of various anesthetic techniques and agents on surgical performance, patient safety, and postoperative recovery. It examines how factors such as the choice of anesthesia, dosage, and patient-specific characteristics contribute to outcomes like pain management, complication rates, and overall satisfaction. Recent studies highlight the potential for regional anesthesia to enhance recovery times and reduce opioid use, while general anesthesia presents unique challenges related to respiratory function and hemodynamic stability. Additionally, the timing and administration of anesthetic agents can affect inflammatory responses and cognitive function post-surgery. By synthesizing current literature, this review aims to inform anesthesiology practice, emphasizing the need for tailored anesthetic strategies that optimize surgical outcomes and enhance patient care. The findings underscore the importance of collaborative decision-making between surgical and anesthetic teams to improve clinical protocols and patient experiences in the perioperative setting.