Perioperative medicine is a new approaches for quicker and better preparation all patients for surgery and postoperative treatment. Perioperative medicine should fulfilled following problems: a) Preoperative assessment, b) Postoperative pain treatment, c) Postoperative intensive therapy. Anaesthesiologists are interested in above problems, except prolonged preoperative treatment, which is normally provided by other specialists. Perioperative medicine needs a new approach for training new type of anaesthesiologists well prepared for new type of responsibility.