Tele-anesthesia applies digital technology to remotely monitor and assist anesthesia delivery, enhancing patient safety and access in remote or resource-constrained environments. Real-time monitoring, decision support, and off-site consultation enhance perioperative care. Interoperability with anesthesia teams, surgical teams, and off-site technologies provides continuity of care. Tele-anesthesia enhances efficiency, decreases complications, and increases access to specialized perioperative services.