The mechanism(s) by which anesthetics reversibly suppress consciousness are incompletely understood. Previous functional imaging studies demonstrated dynamic changes in thalamic and cortical metabolic activity, as well as the maintained presence of metabolically defined functional networks despite the loss of consciousness. However, the invasive electrophysiology associated with these observations has yet to be studied. By recording electrical activity directly from the cortical surface, electrocorticography (ECoG) provides a powerful method to integrate spatial, temporal, and spectral features of cortical electrophysiology not possible with noninvasive approaches. In this study, we report a unique comprehensive recording of invasive human cortical physiology during both induction and emergence from propofol anesthesia. Propofolinduced transitions in and out of consciousness (defined here as responsiveness) were characterized by maintained large-scale functional networks defined by correlated fluctuations of the slow cortical potential (<0.5 Hz) over the somatomotor cortex, present even in the deeply anesthetized state of burst suppression. Similarly, phase-power coupling between θ-and γ-range frequencies persisted throughout the induction and emergence from anesthesia. Superimposed on this preserved functional architecture were alterations in frequency band power, variance, covariance, and phase-power interactions that were distinct to different frequency ranges and occurred in separable phases. These data support that dynamic alterations in cortical and thalamocortical circuit activity occur in the context of a larger stable architecture that is maintained despite anesthetic-induced alterations in consciousness.cortical networks | human cortex | gamma rhythms E very year millions of people undergo general anesthesia, yet the mechanism(s) by which widely used clinical anesthetics reversibly ablate consciousness remains incompletely understood (1). Moreover, the manner in which the brain is able to tolerate global pharmacologic suppression, yet still maintain memories and resume complex cortical interactions that define a person's cognition after removal of this suppression, also remains unknown. Thus far, the majority of studies in humans have used noninvasive methods such as functional imaging and electroencephalography (EEG) to arrive at the current understanding. To date, positron emission tomography (PET) and functional magnetic resonance imaging (fMRI) studies show that there is a complex interplay between and within the thalamus and the cortex. These studies demonstrate that the thalamus is a common site of deactivation during induction by various anesthetic agents (2,3), that there appears to be a disruption of thalamo-cortical and cortico-cortical connectivity (4, 5), and that specific regions of association cortices show enhanced deactivation with certain anesthetics (6, 7). In parallel with these dynamic interactions, there also appear to be physiologic elements that are invariant and do not change wi...