To the Editor We read the Viewpoint by Pitt and Dossett with great interest. 1 We appreciate the authors' thoughtful recommendations to deimplement low-value care by reducing care components that are costly and of limited benefit. These recommendations are a worthwhile first step to contain costs and optimize use of strained health care resources exacerbated by the COVID-19 pandemic.With some surprise, we noted that the authors did not discuss anesthesia-related care as part of their strategic recommendations, despite the inclusion of other health care professionals. Our specialties are intertwined, as virtually all surgery involves anesthesia and vice versa. Notably, anesthetic care is not mentioned in the Viewpoint, although many of the same strategies recommended for surgeons could easily apply to anesthesiologists. For example, anesthesiology societies and journals can (and do) promote deimplementation of low-value care through guidelines and clinical practice recommendations. Porter's original concept of value-based care noted that "the proper unit for measuring value should encompass all services or activities that jointly determine success in meeting a set of patient needs," 2 which indicates the need to include all stakeholders.In collaboration with other perioperative health care professionals, anesthesiologists have multiple opportunities to contribute our unique skill set to high-value surgical care, including preoperative assessment and optimization, intraoperative management, pain management, and postoperative surveillance. As noted by the authors, 1 opportunities to increase value occur throughout the surgical trajectory and beyond the operating room, and this applies to anesthetic care as well. Areas where anesthesiologists have made substantial contributions to value-based surgical care include efficient operating room management, avoiding day-of-surgery cancellations through optimization and preassessment, and segmentation of patients into low-vs high-variance procedures to optimize process, safety, and efficiency. 3 The implementation of best practice pathways include avoiding unnecessary preoperative investigations, blood management programs, choice of anesthetic modality, delirium reduction pathways, pain management, and postoperative monitoring. For example, the use of regional anesthesia in ambulatory surgery is associated with a reduction in recovery time and overall hospital costs. 4 Transitional pain clinics are another example of an anesthesiology-led multidisciplinary initiative to safely wean patients from opioids after surgery and reduce chronic postsurgical pain. 5 We thank the authors for their informative review and agree that improving the value of surgical care for patients is needed and will no doubt be challenging and complex. One thing is for certain-it will require a team effort.