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There are a lot of people in the operating room, but only one who is by your side the entire time, and that's the anesthesiologist. While the nurses are often moving around the room, the anesthesiologist is sitting right near your head, so they become your go-to if you have any requests, questions, or complaints during the surgery. They'll adjust your meds as needed, make sure you're warm enough, and tell you how close you are to meeting your baby — some will even take playlist requests.
But do know that the awesomeness of your anesthesiologist can vary dramatically. My first was terrible (i.e., didn't believe me when I said I wasn't 100 percent numb), and my second was so good that I requested to have him with my third. He'd moved to another hospital by the time that happened, but the one I had with my third was even more amazing. Fingers crossed you get lucky because it really does affect the overall experience.