**8. Conclusion**

While many anesthesiologists have observed "Goldilocks" anesthesia administered for classical abdominoplasty, cognitive dissonance often prevents believing what they have witnessed. It is not unusual for anesthesiologists to observe patients recover in a manner totally unlike that of GA or neuraxial block for them to believe that what they formerly believed was a major invasive surgery performed with a minimally invasive anesthetic approach.

When the surgeon is properly prepared for his role giving adequate local analgesia, the stage is set for outstanding, reproducible anesthesia outcomes for elective cosmetic surgery. The anesthesiologist needs to understand the real-time value of BIS/EMG monitoring and use it for the benefit of the conduct of the case. It may also be necessary to overcome outdated, unproductive teaching about negative ketamine side effects.

Cosmetic surgery patients endeavor to improve their level of happiness by altering their body image. Propofol is a happy affect drug that nicely complements the mental recovery of these patients.
