en تخصصي Special مروری Review Article <span style="font-size:11pt"><span style="line-height:150%"><span style="font-family:&quot;Calibri&quot;,sans-serif"><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:&quot;Times New Roman&quot;,serif">Plastic and reconstructive surgery encompasses a wide spectrum of procedures ranging from minor aesthetic interventions to complex microsurgical reconstructions. The heterogeneity of these procedures necessitates individualized anesthetic strategies aimed at optimizing patient safety, surgical conditions, and postoperative recovery. Contemporary practice has evolved toward multimodal, opioid-sparing, and procedure-specific anesthetic approaches, including general anesthesia, total intravenous anesthesia (TIVA), monitored anesthesia care (MAC), regional anesthesia, and local anesthetic techniques. Despite significant advances, anesthesia-related complications such as postoperative nausea and vomiting, hemodynamic instability, airway difficulties, and thromboembolic events remain clinically relevant. This narrative review summarizes current concepts in anesthesia for plastic and reconstructive surgery, emphasizing anesthetic techniques, and emerging future directions.</span></span></span></span></span></span><br> &nbsp; Plastic surgery, Anesthesia, Cosmetic Surgery 0 0 http://wjps.ir/browse.php?a_code=A-10-1204-3&slc_lang=en&sid=1 Mehdi Kiaei 100319475328460017903 100319475328460017903 Yes Department of Clinical Sciences, School of Medicine, Abadan University of Medical Sciences, Abadan, Iran