Best Mobile Anesthesia Groups for Office-Based Surgery (2026): 10 Compared

For plastic surgeons and surgical practice managers. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not anesthesia services, and none of the groups below is a Prospyr product or partner. Each summary reflects what the group publishes on its own website, checked October 2026. Anesthesia is regulated care: verify every provider's license, board certification, malpractice coverage and your own facility's accreditation and state requirements before the first case.

What does a mobile anesthesia group do for an office-based surgery practice?

A mobile anesthesia group sends an anesthesiologist or certified registered nurse anesthetist (CRNA) to your office surgical suite, usually with the monitors, medications and emergency supplies needed for the case, so you can schedule procedures without booking a hospital or surgery center. Most handle pre-operative screening, the anesthetic, recovery and their own billing. The differences that matter are the provider model (physician-only, CRNA-only or a care team), which states and cities they cover, what equipment they bring, how they bill patients, and whether they have worked with plastic surgery cases in accredited office settings.

The 10 mobile anesthesia groups at a glance

How we chose this list

We looked for groups that bring anesthesia into a surgeon's own office (not only hospitals or surgery centers) and then checked what a practice manager can confirm before a call:

1. Office-based focus. The group says on its own site that it provides anesthesia in physician offices.
2. Relevance to aesthetic surgery. We favored groups that name plastic, cosmetic or facial plastic surgery. Where a group doesn't, we say so.
3. A clear service area. Each group lists the cities or states it covers.
4. Published details on the model. Who provides care, what equipment and staff come with them, and how billing works.

The order is our editorial view, not a measure of results or safety. Mobile anesthesia is local, so the best group for you is often the one that already covers your city.

1. Ambulatory Anesthesia Care (AAC)

Ambulatory Anesthesia Care describes itself as a full-service anesthesia solution for office-based surgeons. It reports serving the Chicago area since 1995 and lists locations in Chicago, Houston, Dallas–Fort Worth, Austin and Seattle, working with surgery centers, office-based practices and surgical hospitals.

What stands out:

• Turnkey office program. AAC lists preoperative patient screening, dedicated anesthesia providers, nursing and clinical support staff, equipment, supplies and medications, onsite emergency resources, quality and safety management, and compliance programs.
• Staff who travel with the case. It states that ACLS-certified RNs, clinical support staff and anesthesia technicians transport equipment and supplies for each procedure.
• Billing. AAC runs in-house billing and offers patients an online estimate tool in Texas and Illinois.

Right for: busy practices in its listed cities that want one vendor for anesthesia, recovery nursing and billing. Ask: how many plastic surgery offices it currently staffs (its examples lean toward ENT and GI), and which anesthesia-specific records it hands back to your chart.

2. Elite Anesthesia

Elite Anesthesia has a plastic surgery service line for cosmetic and reconstructive procedures in office surgical suites. It lists 13 markets: Phoenix, Denver, Seattle, Salt Lake City, Oklahoma City, Tulsa, Dallas–Fort Worth, Austin, Houston, San Antonio, Chicago and Minneapolis, with Detroit listed as coming soon. Elite also serves dental offices.

What stands out:

• Named procedures. Its plastic surgery page lists facelifts and rhinoplasty, breast augmentation and reduction, liposuction and body contouring, and reconstructive procedures.
• Provider model. Elite states each case is staffed by a board-certified anesthesiologist or CRNA, and that its team handles pre-procedure assessment, monitoring, medications, recovery and documentation.
• Practice support. It says it helps teams identify candidates, coordinate clearance and schedule cases.

Right for: practices in one of its markets that want a group with an established plastic surgery program. Ask: who will staff your cases (anesthesiologist or CRNA), and how your accreditation requirements are met for each case type.

3. AOI Anesthesia

AOI Anesthesia is a concierge anesthesia group based in Greater Miami, founded by board-certified anesthesiologist Dr. Andrew O. Idowu, serving office-based practices and ambulatory surgery centers in the Southern US. It lists "Plastic & Cosmetic Surgery" among its specialties and reports helping 35+ practices across Florida.

What stands out:

• Set-up help. AOI advertises CRNA- or MD-led staffing, Level II office-based surgery compliance, RN recovery support, SOPs, documentation and inspection prep, and medications, crash carts and monitoring equipment.
• Startup cost. It advertises turnkey anesthesia "with zero startup cost."
• Billing. It lists billing coordination with insurers.

Right for: Florida surgeons starting or growing an in-office surgery program. Ask: which levels of office surgery it supports, and confirm your office's own status under Florida's office surgery rules with the state board.

4. Windy City Anesthesia

Windy City Anesthesia has a dedicated plastic surgery anesthesia service for office-based cases, from hand surgery to full-body liposuction. Its plastic surgery page lists coverage in Chicago, Milwaukee, Iowa, Omaha, Missouri, Indiana, Michigan and Miami. It also covers pain management, dental, urology, podiatry and gynecology offices.

Right for: Midwest plastic surgeons who want a group that names their specialty. Ask: who is local to your city versus traveling in, how far ahead you need to book, and what sedation levels it provides for longer body contouring cases.

5. Quantum Anesthesia

Quantum Anesthesia reports serving clinics in Illinois, Wisconsin and Indiana since 2012, with long-term work in dentistry, oral and maxillofacial surgery, ENT and facial plastics, and over 80 clinics in total. Its medical anesthesia page lists body plastics and facial plastics among its specialties.

Right for: facial plastic surgeons and practices whose cases are mostly head and neck. Ask: how many body contouring cases it staffs, and whether the same provider can cover your regular surgery days.

6. PAA Mobile (Providence Anesthesiology Associates)

PAA Mobile is the office-based arm of Providence Anesthesiology Associates, a private physician anesthesiology group in the Carolinas. It reports providing office-based anesthesia in North Carolina since 2011. It states each team is led by an anesthesia care provider with a PACU- or ICU-trained nurse, and it offers RN pre-op screening, online scheduling and an iPad-based anesthesia record.

Right for: North Carolina surgeons who want an office program backed by a large physician group. Ask: which cities PAA Mobile covers today and whether it staffs aesthetic surgery offices.

7. Harbor Anesthesia

Harbor Anesthesia provides mobile and office-based anesthesia to medical and dental practices in San Antonio, Austin, Houston, Corpus Christi and the wider Central and South Texas region. It states each case is managed by board-certified anesthesiologists, and it lists "Dermatology & Cosmetic Surgery" among the specialties it supports, working with plastic surgeons and dermatologists.

Right for: Texas practices outside the largest national groups' coverage, or those that want physician anesthesiologists for every case. Ask: which plastic surgery procedures it currently staffs in office settings, and how it bills patients.

8. Peak View Anesthesia

Peak View Anesthesia provides mobile anesthesia in the Denver metro area and along Colorado's Front Range, including Colorado Springs and Pueblo. It names dental offices, pediatric dentists and aesthetic ("cosmetic") surgery centers as its markets. Its pages list two board-certified physician anesthesiologists, Dr. Dallen Mill and Dr. Tom Harris.

Right for: Colorado aesthetic surgery practices that want a physician anesthesiologist. Ask: its capacity for regular surgery days given a small physician team, and its plan for cover if your assigned anesthesiologist is unavailable.

9. OnSite Anesthesia

OnSite Anesthesia is a group of independent CRNA contractors serving the greater Denver/Boulder area. It reports serving over 50 offices in the Denver metro area for 15+ years, providing anesthesia for ambulatory and office-based surgery including dental, medical and cosmetic procedures.

Right for: Colorado practices comfortable with a CRNA model under their state's supervision rules. Ask: how supervision works for your cases under Colorado law, and who carries malpractice coverage for each contractor.

10. Mobile Office-Based Anesthesia

Mobile Office-Based Anesthesia was founded in 2014 by Dr. Stefan Lucas in Rochester, New York. It reports partnering with more than 25 practices in Rochester, Buffalo, Syracuse and the Finger Lakes region. Its model includes a board-certified anesthesiologist, nurses with ED or ICU experience who hold BLS, ACLS and PALS certifications, patient care technicians, an emergency airway cart and a crash cart.

Right for: upstate New York surgical offices. Ask: whether it currently staffs plastic surgery offices (its site emphasizes dental and procedural offices), and how it works with your office's accreditation.

Questions to ask any mobile anesthesia group

1. Who will give the anesthetic? Get the names, licenses and board certification of the anesthesiologists or CRNAs, and how supervision works in your state.
2. Is your office set up for the cases you plan? The American Society of Anesthesiologists' Statement on Office-Based Anesthesia (last amended October 23, 2024) notes that office settings may have little or no regulation compared with hospitals, and asks anesthesiologists to check governance, equipment and emergency plans. Ask the group which accreditation (AAAASF/QUAD A, AAAHC or The Joint Commission) and state rules it expects you to meet.
3. What do you bring, and what must we own? Monitors, medications, airway and crash carts, recovery staff: get it in writing.
4. What is the emergency and transfer plan? Ask for the written plan and the hospital you will use.
5. How do you bill patients? In-network, out-of-network or cash, and who quotes the anesthesia fee before surgery.
6. Will you sign a business associate agreement, and what records come back to us? Your chart should hold the anesthesia record and pre-op assessment.
7. What is your cancellation and minimum-case policy? Confirm how far ahead to book and what happens if a case is cancelled the day before.

Where Prospyr fits

Anesthesia is one booking on a surgery day that also includes the surgeon, the room, the patient's paperwork and follow-up. Prospyr's plastic surgery practice software keeps that day in one schedule, and digital intake collects health history and forms before the patient arrives, which your anesthesia provider will want to review. You can book a practice demo to see it.

Frequently asked questions

Is mobile anesthesia legal for office-based plastic surgery?

It depends on your state and the depth of anesthesia. Rules for office surgery settings differ from state to state, and the ASA notes that offices may have far less oversight than hospitals or surgery centers. Check your state medical board's current rules and your accreditor's standards before you book a group.

Should we use an anesthesiologist or a CRNA?

It depends on your state's supervision rules, your case mix and your accreditor's requirements. Several groups on this list use physician anesthesiologists for every case, others use CRNAs, and some combine both. Ask each group how supervision works for your cases and get it in writing.

Who pays the mobile anesthesia group?

It varies by group. On this list, AAC describes in-house billing with an online patient estimate tool, AOI lists billing coordination with insurers, and others publish billing departments or portals for patients. Ask for the billing model and a sample fee before the first case so your surgery quote is complete.

What should we have in place after surgery?

A recovery plan agreed with the anesthesia group, including who monitors the patient and the discharge criteria. Many practices also line up aftercare; see our lists of plastic surgery recovery homes and lymphatic massage networks. For consent, our post on informed consent in aesthetic surgery covers the basics.

Want your company considered?

We review this list quarterly. Anesthesia groups that serve plastic surgeons can send their website and what they offer practices to info@prospyrmed.com; inclusion is editorial and not paid.

Editorial scope

This list is based on each group's public website, checked October 2026 with AI-assisted research. Groups did not review this article before publication. It is not a guarantee of results, a safety rating, or a substitute for checking licensure, board certification, insurance, references and your state's office surgery rules. Read our methodology or report a correction.