Before, surgeries were harrowing ordeals, often accompanied by excruciating pain and fraught with high mortality rates. However, with the introduction of anesthesia, a profound transformation occurred, revolutionizing the landscape of medicine and offering patients a chance at pain-free surgical intervention.

Astonishingly, despite its crucial importance, anesthesiology remains one of the least competitive medical specialties, making it an accessible and viable career path for those drawn to its vital contributions. If you’re intrigued by the prospect of how to become an anesthesiologist, read our step-by-step guide outlining all the essential stages and requirements to pursue a career as an anesthesiologist.

What Is an Anesthesiologist?

At the heart of pain-free medical procedures lies the expertise of an anesthesiologist. But what exactly is an anesthesiologist?

Anesthesia, at its core, is a medical treatment that induces a temporary loss of sensation or consciousness. It’s the cloak of comfort that shields patients from pain during surgeries or specific treatments. Given its significance, it’s evident that mastering anesthesia isn’t just about administering medications—it’s an art and science of ensuring the patient’s safety and comfort.

Enter the anesthesiologist: a medical maestro attuned to the delicate balance of keeping a patient comfortable, stable, and safe. Even though they are present in the operating rooms, anesthesiologists are non-surgical doctors. Beyond just giving the anesthesia, these specialized doctors meticulously review a patient’s medical history, pinpoint the optimal type and dosage of anesthesia, and vigilantly monitor vital signs from start to finish.

The realm of anesthesiology is vast, with professionals deftly navigating potential challenges, collaborating seamlessly with surgeons, and harnessing state-of-the-art techniques and equipment. Their role is paramount in ensuring not only the success of medical procedures but also the peace of mind and well-being of every patient they care for.

What Does an Anesthesiologist Do?

Anesthesiologists encompass a diverse array of duties within the realm of healthcare. Some of their key responsibilities include the following:

  • Administering various forms of anesthesia.
  • Evaluating their patient’s medical history to determine the most appropriate type and dosage of anesthesia.
  • Monitoring the vital signs throughout the surgical or medical procedure.
  • Adjusting anesthesia levels as needed to ensure the patient’s comfort and safety.
  • Managing any complications or adverse reactions that may arise during anesthesia administration.
  • Collaborating with surgical teams and other healthcare professionals to create a controlled and optimized environment for surgery.
  • Providing preoperative consultations and post-operative care to address anesthesia-related concerns.
  • Utilizing advanced monitoring equipment and technology to ensure precise control over anesthesia delivery.

How To Become an Anesthesiologist


Becoming an anesthesiologist involves a meticulous process of obtaining the requisite education, undergoing rigorous training, and successfully passing essential exams for licensure and certification. We’ll outline each step in the following sections.

Get a bachelor’s degree

To become an anesthesiologist, one must first earn a bachelor’s degree. While no specific major is required, many aspiring anesthesiologists opt for a pre-medical track or a science-related field like biology or chemistry. This foundational education offers a solid understanding of biology, chemistry, physics, and mathematics, which are essential for comprehending the intricacies of human physiology and medicine.

Study and pass the MCAT

After completing the first step of anesthesiologist schooling requirements, aspiring anesthesiologists must prepare for and excel in the Medical College Admission Test (MCAT). This standardized exam covers a broad range of subjects and assesses students’ aptitude for medical school.

Passing the MCAT, especially with a strong score, is essential for gaining admission to medical schools, which is the next step in the list of anesthesiologist requirements.

Complete a four-year medical school program

A significant portion of anesthesiologist schooling years is devoted to medical school, a crucial phase in their educational journey. This phase typically spans four years and is designed to provide a comprehensive understanding of medical principles and practices.

Aspiring anesthesiologists can pursue either a Doctor of Medicine (MD) or a Doctor of Osteopathic Medicine (DO) degree. Both MD and DO degrees furnish aspiring anesthesiologists with the foundational knowledge essential for their specialized field. For example, our institution’s MD program is structured into two integral components: Preclinical Sciences and Clinical Sciences, aiming to equip future anesthesiologists with the understanding and practical skills needed to excel in anesthesiology.

Complete a medical residency program 

There are numerous types of physicians, each specializing in a particular area of healthcare. But, regardless of their chosen specialty, nearly all must undergo a residency program after graduating from medical school to develop the clinical skills and expertise to practice independently.

This holds true for those following the anesthesiologist career path as well. The residency period is vital as it provides aspiring anesthesiologists with hands-on experience administering anesthesia, managing patients during surgery, and handling potential complications.

The length of the residency varies based on the chosen specialization. In the case of anesthesiology, it encompasses three years of specialized training, along with an additional PGY-1 Transitional/Preliminary year.

Secure a fellowship 

Although not required, anesthesiologists can choose to undergo further training by enrolling in a fellowship program. These programs offer specialized training in areas such as pain management, critical care, or pediatric anesthesiology. Typically lasting for one to two years, they provide extensive hands-on experience that enables anesthesiologists to acquire advanced skills and knowledge, allowing them to excel in specific clinical settings or effectively treat patients with unique needs.

Become licensed

To practice medicine as an anesthesiologist, individuals must obtain a state medical license. Licensing requirements vary by state but typically involve completing the necessary education and passing the U.S. Medical Licensing Examination (USMLE).

In some instances, your state’s licensing exam may be integrated into the curriculum requirements of medical school, enabling you to practice within the state where you are enrolled and undergoing training. However, it’s best to contact your state’s medical board to ensure you meet all additional eligibility criteria. They can provide precise information on licensing procedures and any specific requirements pertinent to your situation.

Become certified

Finally, while board certification is not required, it is strongly advised for those seeking to showcase their knowledge and dedication to excellence in the industry. To achieve board certification, one must pass the American Board of Anesthesiology (ABA) certification exam.

Maintaining board certification may require ongoing continuing education and periodic re-certification exams to ensure candidates stay up-to-date with advancements in the field.

Essential Skills of an Anesthesiologist

Mastering the role of an anesthesiologist requires a unique set of skills blending technical proficiency, exceptional communication, and a commitment to patient safety. Some of these skills include:

  • In-depth knowledge of anesthesia techniques.
  • Understanding of pharmacology and various medical conditions.
  • Swift decision-making skills.
  • Ability to handle emergencies calmly and effectively.
  • Attention to detail.
  • Strong communication skills.
  • Capacity to swiftly adjust anesthetic plans based on changing patient conditions.
  • Ability to maintain composure in high-pressure surgical environments.

Career Growth and Opportunities

According to the Bureau of Labor Statistics (BLS), the job outlook for physicians and surgeons, encompassing anesthesiologists, is anticipated to experience a 3% growth from 2022 to 2032. This growth is attributed to various factors, including an aging population and an increased demand for healthcare services. 

This projection translates to an estimated 24,200 new job openings annually within this field, reflecting a continued need for skilled medical professionals and highlighting the stability and potential for career opportunities in anesthesiology and broader medical practice.

There are various roles that anesthesiologists can aspire to, each offering unique challenges, responsibilities, and avenues for professional growth, including the following:

  • Pain management specialist
  • Critical care anesthesiologist
  • Researcher or clinical trial consultant
  • Hospital administrator
  • Academic doctor

The Financial Perspective: Salary, Growth, and Stability


As of October 2023, the estimated annual compensation for an anesthesiologist in the United States is approximately $351,435. This figure represents a median value, with salaries ranging from $264,000 to $486,000 annually.

It is important to consider that the estimation of anesthesiologists’ earning potential considers various factors, such as where they are located, how many years of experience they have, and their specific areas of expertise.

Anesthesiologists can increase their earning potential by gaining more experience and specializing in a particular field. In addition, they can improve their financial prospects by taking on leadership positions in healthcare organizations or pursuing academic research. So, overall, this is a rewarding and in-demand medical specialty.

Challenges and Considerations

While anesthesiology offers a fulfilling and well-compensated career, being aware of some potential challenges is essential. Firstly, working in anesthesiology can be emotionally challenging, especially in high-pressure surgical situations. Anesthesiologists often play a critical role in the operating room, monitoring and maintaining a patient’s vital signs and overall health during the procedure.

The professionals may also grapple with long and unpredictable work hours. Most physicians work between 40 and 60 hours per week, with about a quarter of doctors having work weeks that consist of 61 to 80 hours.

Additionally, staying updated with evolving medical practices and technologies is essential, necessitating a commitment to continuous education and professional development.

The Bottom Line

Choosing to pursue a career in anesthesiology is not only an excellent opportunity for professional growth, but it’s also an excellent way to help others. As an anesthesiologist, you will have the chance to directly impact the health and comfort of patients undergoing surgery, providing them with essential support on their medical journey.

If the idea of becoming an anesthesiologist appeals to you and you’re passionate about contributing to the healthcare sector, then this rewarding career path is definitely worth considering. Your role as an anesthesiologist could be instrumental in ensuring the best possible outcomes for countless individuals needing surgical care.


How long does it take to become an anesthesiologist?

It takes approximately 12 years, including undergraduate studies, medical school, and residency.

What is the fastest way to become an anesthesiologist?

A direct and quick path to becoming an anesthesiologist is to earn a bachelor’s degree, attend medical school, and complete an anesthesiology residency.

Is it hard to become an anesthesiologist?

Although becoming an anesthesiologist is considered rigorous and demanding, it becomes easier to manage everything if you have a passion for the field and helping others.

What is the best degree for an anesthesiologist?

An anesthesiologist must have a Doctor of Medicine or Doctor of Osteopathic Medicine degree.

Is anesthesiology a stressful job?

Yes, anesthesiology can be stressful, particularly during high-stakes surgical procedures where precise decision-making is crucial.

What is the average age of an anesthesiologist?

Most anesthesiologists, accounting for 72%, are over 40 years old.

What GPA does an anesthesiologist need?

A premed GPA of 3.8 or higher is considered stellar for any medical school, including those aspiring to become an anesthesiologist.

Why is anesthesiology so highly paid?

Anesthesiologists are well-compensated due to their extensive education, specialized skills, and critical role in ensuring patient safety during surgical procedures.

How many hours a week do anesthesiologists work?

Anesthesiologists typically work between 40 to 60 hours per week, with some working weeks extending to 61 to 80 hours.