Our mission is to promote the best personalized perioperative care experience for our patients in line with the core principles of justice, equity, safety, and sustainability. In 2024, we made significant advancements across multiple domains, reflecting our commitment to delivering exceptional care and fostering innovation. In our clinical domain, we have continued to excel in areas such as obstetrics, acute and chronic pain management, perioperative medicine, and critical care, ensuring a comprehensive and personalized perioperative care experience for our patients. Among other achievements, we successfully participated in transitioning a substantial portion of our surgical ICU from an open to a close model. We have increased our OR capacity and, consequently, helped decrease the overall length of hospital stay for patients needing an urgent surgical procedure. We were awarded a Center of Excellence award by the Society for Obstetric Anesthesia and Perinatology (SOAP). We thrived in the academic realm as well, with numerous grants secured from foundations and federal agencies such as National Institutes of Health (NIH), Patient Centered Outcomes Research Institute, Department of Defense, and others. We had over 70 publications (including in major journals such as Journal of the American Medical Association [JAMA]) in 2024 covering a diverse range of research topics, including basic science, clinical research, data science, global health and equity, and quality improvement. Additionally, we introduced new educational opportunities, including new simulation sessions in the OR and the ICU, and continued to hold our quarterly international complex case conference, receiving overwhelmingly positive feedback from trainees. This international collaboration will be expanded in 2025 with the first faculty exchange program between ZSFG and the European Hospital George-Pompidou in Paris, France. Financially, we celebrate a marked improvement in ZSFG finances, evidenced by a positive end-of-year balance for the fourth consecutive year and the restoration of healthy reserves, ensuring our sustainability and continued growth. Our commitment to diversity, equity, and inclusion remains steadfast, and following our last faculty retreat, we implemented several initiatives, resulting in tangible achievements in areas such as compensation and recruitment. Finally, we continue to be extremely proud of our anesthesia techs, CRNAs, Respiratory therapists, Nurse Practitioners, and office staff. Their professionalism and dedication are extraordinary and have contributed to further bolstering our ability to deliver exceptional care to our patients and advance our missions. Romain Pirracchio, MD, PhDChief of Anesthesia and Perioperative Care at ZSFGExecutive Vice Chair of Adult Anesthesia Clinical highlights Adult Critical CareAmbulatory Surgery CentersBCH OaklandClinical AffairsMission Bay AdultMount Zion Surgery CenterObstetric AnesthesiaPain MedicinePediatric AnesthesiaUCSF Orthopaedic InstituteVA Health Care SystemZuckerberg San Francisco General Go Back