Abstract: Currently, China has the second largest plastic and cosmetic market in the world. Although public hospitals are more standardized in terms of business capability, academic level, and discipline construction, more and more private institutions gradually dominate the industry. With the establishment of the Chinese Society for Anesthesia, Sedation and Analgesia of Plastics and Aesthetics, and the publication of "Specifications for Safe Practice of Cosmetic Anesthesia", some security issues have been improved although the shortage of practitioners cannot be solved in a short term. With the improvement in the service concept of the practitioners of plastic and cosmetic anesthesia, the innovation of medical technology, the standardization of clinical behavior, and the promotion of training, the overall appearance of anesthesia for plastic and cosmetic surgery in China will be further improved.