In today’s healthcare environment, surgical procedures may be performed in a variety of different settings. Choosing between a surgery center and a hospital is a big decision for patients, and many factors come into play when determining which option is best. Surgery centers, also known as ambulatory surgery centers (ASCs), are licensed, freestanding outpatient facilities. These centers are often physician-owned, may specialize in certain procedure and are typically smaller than hospitals. Surgery centers have become increasingly prevalent, and more surgeries are being performed at such facilities, particularly because of advances in anesthesia that have increased the provision of ambulatory anesthesia services. Clinical advances in technology, financial incentives, and a greater demand for lower-cost and higher quality care have also contributed to the rise in surgery centers. The volume, age, and complexity of the outpatient surgical population has grown, and more patients are now facing the choice between different surgical settings .
When deciding between a hospital or a surgery center, one must first determine that the patient’s case is appropriate for an ambulatory surgery setting. Unlike hospitals, surgery centers do not have various support departments such as MRI suites and ICUs, and there have been concerns in regards to their ability to handle major problems during surgery. Hospitals have more resources to manage complications, and patients are often transferred from a surgery center to the nearest hospital facility should complications arise during a procedure. Patient selection is essential to ensure safety in a surgery center, as not all patients are candidates for outpatient surgery. The procedure, personnel involved, patient’s medical status, and surgical setting all affect the patient selection process. Anesthesia also plays