Women recover faster from propofol anaesthesia and have been described to have a higher incidence of awareness during surgery, compared to men -an effect that may be inherent in sex differences in propofol metabolism. In an observational study, 98 ASA I-II patients treated with continuous propofol infusion were recruited. The associations between sex and CYP2B6 and UGT1A9 polymorphisms with dose-and weight-adjusted area under the total plasma level time curves (AUC) for propofol, and its metabolites propofol glucuronide (PG), 4-hydroxypropofol (OHP) and hydroxyl glucuronide metabolites 4-hydroxypropofol-1-O-b-D-glucuronide (Q1G) and 4-hydroxypropofol-4-O-b-D-glucuronide (Q4G), were analysed. Significantly higher AUC of PG (1.3 times, p = 0.03), Q1G (2.9 times, p < 0.001), Q4G (2.4 times, p < 0.01) and OHP (4.6 times, p = 0.01) were found in women (n = 53) than in men (n = 45) after intravenous infusion of propofol using target-controlled infusion system. There was, however, no significant impact of gene polymorphisms on propofol biotransformation. The results, which are supported by a previous pilot study using a propofol bolus dose, suggest that, compared to men, more rapid propofol metabolism may occur in women -a factor that may contribute to the mentioned differences in the efficacy of propofol anaesthesia between male and female patients.Propofol (2,6-diisopropylphenol) has become a widely used intravenous sedative agent for induction and maintenance of anaesthesia due to its rapid onset, relatively short emergence time and favourable safety profile. However, extensive interindividual variability in pharmacokinetic and pharmacodynamic parameters has previously been reported [1][2][3]. The biotransformation of propofol is a multipathway process: UDP-glucuronosyltransferase 1A9 (UGT1A9) is the main enzyme that catalyses the glucuronidation of propofol to propofol glucuronide (PG) [4]. Cytochrome P-450 enzyme 2B6 (CYP2B6) and to a lesser extent CYP2C9 are responsible for the hydroxylation of propofol to its hydroxylated metabolites. The major hydroxylated metabolite 4-hydroxypropofol (OHP) is subsequently metabolized to 4-hydroxypropofol-1-O-b-Dglucuronide (Q1G) and 4-hydroxypropofol-4-O-b-D-glucuronide (Q4G) [5]. Up to 90% of propofol is eliminated via the urine in the form of its glucuronidated metabolites [5,6], suggesting a crucial role of UGTs in its clearance.Single-nucleotide polymorphisms (SNPs) in UGT1A9 and CYP2B6 might contribute to the inter-individual variability in the formation rate of propofol metabolites. Age, weight, height and lean body mass have also been reported to play a relevant role in propofol clearance [7][8][9][10]. Furthermore, growing evidence suggests that sex is an independent factor that influences the rate of recovery from general anaesthesia [11]. A faster recovery has been reported in women after the administration of inhaled agents [11] or intravenous propofol [12], and faster decrease plasma propofol levels were reported in women than in men [1]. Currently, it is...