Abstract Conventionally, anesthesiologists practice as perioperative physician, providing preoperative, intraoperative and postoperative care to their surgical patients. Though primarily they focus on providing anaesthesia to their surgical patients, they usually function as a perioperative physician providing ‘non-operative care’ to them [1]. With the skills they have acquired in this, along with the technological advancements, their service is no longer confined to the operating rooms. Emerging requirements away from our routine comfort zone of operating suites has posed new challenges to the specialty. Perioperative Physician is a qualified medical person competent to address the requirement of surgical patients with regard to the decision to operate till they are discharged safe after the procedure. Among the multiple specialists involved in this, anaesthesiologists are best suited to lead them due to their skills, training and experience in this field. A sensible anesthesiologist can reduce the requests for unnecessary consultations and unexpected surgical cancellations due to inadequate preoperative preparation [2].