In the beginning one can expect help from a senior surgeon

In private practice the problems with senior surgeons are minimum. Contrary to popular impressions, they are a great help in preparing the patient and in all stages of anaesthesia. An unscrupulous person is immediately recognized and can be avoided in future. The senior surgeon can tell from his own experience and having worked with senior anaesthesiologist can guide the anaesthetists. They have fair idea about the patients condition during anaesthesia they can recognize from the tissues and the movement of the anaesthetist that something is wrong. They will volunteer help. They from their experience can judge the recovery of the patient. If they suggest that patient is not fully recovered (especially from muscle relaxant effect) it is better to believe them and observe the patient for sometime. The unscrupulous and the junior surgeons should be watched carefully. Beware of surgeons in other branches like dentistry, ophthalmology who are not conversant with anaesthetic complications and hence will be of no help if you are in difficulty.
It is an unrecorded statement that senior surgeon and a senior anaesthetist is the best combination. Senior surgeon and junior anaesthetist or vice versa can be a good workable combination. But a junior surgeon and a junior anaesthetist is a dangerous combination unless proved otherwise. The last combination, both are over confident.
Having worked in teaching hospital after getting the master’s degree gives immense confidence (over confidence) in both surgeons as well as anaesthetist and hence the maximum accident take place during this period. They tend to forget the gravity of the surrounding in which they are working.