Many marketing techniques aimed at patients tout the benefits of procedures that require little to no downtime or that may be non-surgical in nature. Many of these techniques are playing on people’s fear of anesthesia, surgery and recovery. Some physicians who market themselves as plastic or cosmetic surgeons (though lack certification by the American Society of Plastic Surgeons) suggest that patients undergo sedation rather than general anesthesia so that they may “participate” in their procedure such as breast augmentation. This is a terrible idea for a variety of reasons. First and foremost, a patient undergoing a surgical procedure is really in no condition to participate in his/her surgery, nor is that appropriate. A good plastic surgeon will have communicated with his/her patient extensively before going into the operating room or suite. Second, most patients do not want to see the procedure, and finally, the safety of having the patient move around during a procedure has safety issues. The type of anesthesia used during a plastic surgery procedure should not be based on patient participation in the surgery, but on what is best for the patient’s health and wellbeing. Houston’s Eisemann Plastic Surgery Center provides patients with over thirty years of expertise in plastic surgery.