Anesthesia for oral surgery in dogs and cats requires special consideration and thorough planning to maximize patient safety. Well-trained technical staff capable of providing expedient delivery of quality dental radiographs and precision anesthesia monitoring are essential. Doctors need to be well versed in dental radiographic interpretation and competent and experienced in oral surgical techniques, particularly in surgical extractions. The work flow from patient induction to recovery involves estimate generation and client communication with multiple staff members. Knowledge of anesthetic and analgesic agents from premedication to postoperative pain management play an equally important role in patient safety.