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This document is a letter published in the Journal of Cataract & Refractive Surgery, commenting on an editorial by Dr. Osher titled "Feeling relaxed about your anesthesia routine?" The authors express their appreciation for Dr. Osher's discussion of anesthetic techniques in cataract surgery and highlight the importance of achieving optimal surgical and visual outcomes. They also mention the use of assisted local anesthesia (ALA) and the benefits of using propofol for patient cooperation. The authors discuss the challenges of small incision cataract surgery and the development of a test to determine the appropriate anesthesia method. They also mention cases of expulsive choroidal hemorrhage and emphasize the crucial role of anesthetists in managing such situations. The authors conclude by expressing gratitude for Dr. Osher's contributions to anesthesia in cataract surgery. [Extracted from the article]