General anesthesia, administered by and in the offices of oral and maxillofacial surgeons and their anesthesia teams, has been an integral part of our practice for more than 50 years. The record of safety with this form of outpatient anesthesia is exemplary. Our impressive morbidity and mortality statistics continue to support the concept that the operator/anesthesia team is a safe, efficient, and cost-effective model for OMS office-based ambulatory surgical and anesthesia care. OMS office anesthesia in the United States serves as a guide for anesthesia practice throughout the world. The efficacy of ultra light intravenous (IV) anesthesia techniques has been proven. Several nationwide morbidity studies conducted in recent years have demonstrated that these techniques are safe when used by oral and maxillofacial surgeons who have completed an accredited OMS residency program with formal training in anesthesiology.