TopMedTalk broadcasted from the annual meeting of the American Association of Nurse Anesthesiology in San Diego. This wide-ranging conversation explores the challenges and dynamics of the field, including staffing issues, hospital efficiency, and the financial pressures on healthcare providers. The discussion also delves into the evolving anesthesia market, the impact of COVID-19, and the importance of efficient management and collaboration, even among competitors. The episode is presented by Desiree Chappell, TopMedTalk’s Co-Editor-in-Chief and Lead Anchor, as well as Vice President of Clinical Quality for NorthStar Anesthesia, alongside Randy Moore, DNP, MBA, CRNA, Chief Anesthetist Officer at NorthStar Anesthesia. Their guests include Adam Spiegel, Chief Executive Officer of NorthStar Anesthesia, and Tracy Young, MBA, CRNA, Co-Founder and Chief Operating Officer of Essential Anesthesia Management.