Local and regional anesthesia are commonly employed methods in eye surgery, there are situations in which general anesthesia becomes necessary. Some patients may decline local or regional anesthesia, be unable to maintain a steady position, or lie flat during the procedure. This is particularly pertinent for pediatric patients and individuals with allergies to local anesthetics, who may require general anesthesia. In all cases, meticulous patient preparation is paramount in eye surgery. A thorough evaluation is essential before administering anesthesia, with the choice of anesthesia method dependent on factors such as the patient's overall health, the specific surgical procedure, and the surgeon's expertise. In this review, necessary anesthesia methods in ophthalmic surgeries and perioperative patient management will be discussed.