Anesthesia management in metabolic surgeries, like bariatric procedures, is complex due to patients’ obesity-related physiological challenges and comorbidities such as diabetes and obstructive sleep apnea. Careful preoperative assessment, selection of appropriate anesthetic agents, and meticulous intraoperative monitoring are crucial to ensure safety, manage hemodynamics, and optimize outcomes. Postoperative care focuses on pain management and preventing complications, necessitating a multidisciplinary approach for comprehensive perioperative management.