In the surgery room, disagreements between surgeons and anaesthesiologists, regarding the conditions and methods of surgery are not uncommon. This is particularly true for surgeries involving head and neck, where anatomical and physiological complexities can significantly impact on both anesthetic and surgical management. Bleeding may also complicate basic otorhinolaryngological procedures. This literature review enables young anaesthesiologists to facilitate the selection of the type of anesthetic to be used and allows surgeons to critically evaluate their experiences in light of the anesthesia used.