Three chapters discuss the anesthesia management of patients presenting with burns, renal transplant and carotid endarterectomy, the chapter on iatrogenic hyponatremia deals with complications arising from use of irrigation fluids used during endoscopic, urologic and gynecologic surgery. Anesthesia in the MRI suite outlines the problems due to strong magnetic field and the MRI compatible equipment required for patient management. There is an interesting write-up on the status of nitrous oxide in the modern-day anesthesia practice and another chapter re-looks on the commonly practiced brachial plexus block. Current concepts of perioperative fluid therapy and management of postoperative nausea and vomiting (PONV) have also been included. With burgeoning aging population, the ever-increasing number of elderly patients are presenting for surgery, and most of them have cardiovascular comorbidity. Two chapters deal with the anesthetic implications of diastolic dysfunction and implanted cardiac devices. On the other extreme of age, one lung anesthesia in children has been dealt with in detail. Obesity is turning out to be a worldwide epidemic and a large number of these patients have obstructive sleep apnea which may be undiagnosed preoperatively. The diagnosis and anesthetic management of these patients have been discussed as also the management of patients presenting for liposuction, a very common esthetic procedure in the obese.