Office-Based Anesthesia

Hospital-grade safety in the office setting.

In an office OR, the anesthesiologist is the safety system. We bring hospital-grade monitoring, emergency readiness, and accreditation-aware protocols to office-based surgery — so patients get smooth, nausea-free recoveries in a setting built around them.

Partner with us How engagement works ↓

Office-based procedure room with a surgical chair

Safety

In an office OR, we are the safety system.

A plastic or cosmetic surgery office has no hospital behind it, so the standard has to arrive with the anesthesiologist. We bring hospital-grade monitoring, emergency readiness, and accreditation-aware protocols to every case.

Hospital-grade monitoring on every case
Emergency readiness built into the setup, never improvised
Protocols written with your accreditation in mind

Bright outpatient operating room with an anesthesia machine beside the table

The anesthesia

What we deliver in this setting.

Matched to the surgery and the patient — from IV sedation for shorter procedures to general anesthesia tuned for a smooth, nausea-free wake-up.

The experience

Recoveries that match the practice.

Your patients judge the whole experience, and the wake-up is a large part of it. We use total intravenous anesthesia where a smooth, nausea-free emergence matters most, minimize opioids, and give anti-nausea medication up front.

Smooth, nausea-free recoveries
Clear-headed patients, ready to go home the same day
A consistent anesthesiologist your surgeons and staff know

Calm surgery center lounge filled with natural light

How engagement works

From first call to first case.

Most centers are surprised how little work it takes on their side.

01
Discovery call

A 30-minute conversation about your facility, case mix, and goals.
02
Site visit & proposal

We walk your facility, meet your team, and propose a coverage model.
03
Credentialing

Typically 30–90 days; we run it in parallel with planning so nothing waits.
04
First case

A consistent team that knows your setting — from day one.

What partners say

Surgeons request us. Nurses thank us.

“I have yet to work with an anesthesiologist that has provided more benefit to the surgical workflow, and thus directly translated to more surgical productivity.”

Robert Peterson, MD · Northbay Healthcare, Dept. of Orthopedics
“Their skill with ultrasound nerve blocks is also noteworthy. Patients who receive nerve blocks are reliably comfortable and usually require no additional narcotics in the recovery room, making their recovery quick and the PACU nurse's job much easier.”

Alexis Nunez, RN · Director of Nursing, San Francisco Surgery Center
“We have consistently excellent reviews from our patients and our surgeons repeatedly request PAC to care for their patients.”

Alexis Nunez, RN · Director of Nursing, San Francisco Surgery Center

For administrators

Questions centers ask us.

How quickly can Pontine start covering our center?

Credentialing is usually the longest step — typically 30 to 90 days depending on your facility and payors. We run credentialing in parallel with scheduling and workflow planning so coverage can begin as soon as privileges are granted.

Do your physicians carry their own malpractice coverage?

Yes. Every Pontine physician carries individual malpractice coverage at standard policy limits, and we provide certificates of insurance during credentialing.

How does staffing work — will we see the same anesthesiologists?

We staff a small, consistent team per facility rather than rotating strangers through your ORs. Your surgeons and staff work with anesthesiologists who know your center, your cases, and your pace.

What does a transition from our current group look like?

We plan transitions to be invisible to your schedule: credentialing first, then a shadow period alongside your current coverage if desired, then cutover — no cancelled cases, no coverage gaps.