Innovation has always been fueled by thinkers. William Morton revolutionized dentistry and surgery by utilizing ether as an anesthetic although he was not a doctor. The goal of anesthesia in the beginning was to prevent pain during surgical procedures; without pain, patients would not move, and surgery could be performed successfully. Now a days, the goal of anesthesia is to provide a well-rounded experience that satisfies patient’s and surgeon’s expectations. In ophthalmic anesthesia, this is especially important as patients are sedated in a particular manner according to the surgery type, the step of the surgery and the surgeon’s needs. The anesthetic experience provided in ophthalmic care is directly related to the communication and rapport the anesthesiologist establishes with both patients and surgeons. Anesthesiologists increase value in ophthalmic care by acknowledging the expectations of all those involved and implementing humanizing little details may directly impact the success of a surgical procedure.