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Deep Brain Stimulation (DBS) is a minimally invasive approach to neurosurgery for the treatment of movement disorders and neurobehavioral disorders.DBS is a technique whereby electrical current is applied to various parts of the brain via implanted electrodes.The challenges and demands for the anesthesiologist in the care of patients undergoing these procedures relate to the specific concerns of the patients with functional neurologic disorders, the effects of anesthetic drugs on microelectrode recordings, and the requirements of the surgical procedure, which often include an awake and cooperative patient.Furthermore, goals for anesthesia for the procedures should include ensuring a safe airway, maintaining hemodynamic stability, and providing the appropriate anesthesia and analgesia for a patient who may be awake and cooperative.The purpose of this talk is to discuss the guidelines and options regarding the anesthesia plan for DBS procedures, covering preoperative concerns, head frame and electrode placement, sedation, and regional versus general anesthesia.Additionally, the advantages of utilizing close hemodynamic and electroencephalopathy (EEG) monitoring during DBS procedures will be highlighted.The overall objective is to give an anesthesiologists perspective on the challenges and corresponding treatments and techniques associated with DBS procedures.