The healthcare industry is facing an escalating anesthesia workforce shortage. Many practices have reported losing anesthesiologists and anesthetists, and even more have had difficulty finding individuals to hire. It is quite ironic since the quip used to be that for the typical anesthesia group when asked to jump; the only response was how high. But now, with a critical shortage of providers nationwide, simply securing minimum coverage is becoming indispensable to managing surgical facilities. So, how did we get here, and what are the implications of the current shortage?