Dear Doctor: A surgeon asked a patient to choose their own anesthesia — a doctor says that's not right

Dr. Roach addresses a situation where a surgeon requested a patient to select their own anesthesia. The doctor asserts that this practice is incorrect, stating that the decision between monitored anesthesia care and general anesthesia, or MAC and LMA, should not be the patient's responsibility. Instead, the choice must belong exclusively to the surgeon and the anesthesiologist, as they possess the necessary medical expertise to determine the safest and most appropriate option for the procedure.