Surgeon-Anesthesiologist Relationship in the Operating Room: A Cross-Sectional Survey of Surgeons' Perceptions

Background Effective collaboration between surgeons and anesthesiologists is essential for patient safety and efficient operating room workflow. However, communication challenges, organizational constraints, and stress may strain this relationship and affect perioperative care. Methods We conducted a cross-sectional survey of surgeons from various specialties using an anonymous structured questionnaire. The survey assessed organizational factors, quality of professional relationships, perceived anesthesiologist stress, communication practices, and overall satisfaction. Data were analyzed descriptively. Results Seventy-six surgeons participated, mainly from university hospitals. Missing equipment (75.7%), workload, and anesthesia-related delays were frequently reported as negatively affecting collaboration. Although familiarity with the same anesthesiologists was considered beneficial, 32.8% reported insufficient clarity of patient information and 57.9% questioned preoperative investigations. Most surgeons (81.6%) perceived excessive anesthesiologist stress, which was associated with impaired communication and workflow. Many reported modifying their communication or surgical approach in response. Conclusion Organizational constraints, communication, and stress significantly influence surgeon-anesthesiologist collaboration, with potential implications for patient safety and perioperative practice.