This document discusses the anesthetic management of a 60-year-old female patient with myasthenia gravis undergoing surgery. Key points: - The patient was diagnosed with MG in 2009 and had a history of brief exacerbations requiring treatment. She previously underwent cholecystectomy. - Premedication included midazolam. Anesthesia was induced with propofol and rocuronium and maintained with sevoflurane, rocuronium boluses, and remifentanil infusion. - Sugammadex was used to reverse neuromuscular blockade at the end of surgery. The patient was monitored in the intensive care unit post-operatively. - The document warns of