The Department of Anesthesiology and Pain Medicine at the Fourth Affiliated Hospital, Zhejiang University School of Medicine holds a suite of prestigious institutional accreditations: it is a national standardized residency training base, one of China’s first pilot hospitals for comprehensive pain management, a designated provincial key clinical specialty, a Class A Key Medical Discipline of Jinhua City, a CSCTVA Clinical Training Base for Anesthesia Outpatient Services, a CSCTVA Model Unit for Day Surgery Anesthesia, and a specialized training base for ultrasoundguided visualized anesthetic techniques.

Encompassing clinical practice, medical education and scientific research as its core missions, the department boasts a distinguished faculty featuring nationally acclaimed cardiovascular anesthesiologists and provincially leading specialists in acute and chronic pain management. It has built professional teams dedicated to perioperative multimodal analgesia and Enhanced Recovery After Surgery (ERAS) protocols, delivering full-spectrum services including routine clinical anesthesia, painless procedural sedation, emergency resuscitation, and standardized pain diagnosis and treatment. The department performs over 80,000 anesthetic and painless interventions annually with consistent, high-quality technical outcomes. Its core strengths — including anesthesia for high-risk and complex cases, cardiothoracic and great-vascular anesthesia, the management of intractable and complicated pain conditions, and perioperative transesophageal echocardiography monitoring — place it at the forefront of anesthetic practice in central Zhejiang Province.

The department provides age-inclusive clinical services covering the entire lifespan, ranging from anesthesia for neonatal diaphragmatic hernia repair to orthopedic anesthesia for centenarian patients. Its pain management services encompass systematic multimodal analgesia for acute postoperative pain, as well as standardized outpatient treatment for a wide array of chronic painful disorders, such as cervicobrachial and lumbocrural pain, herpes zoster and post-herpetic neuralgia, intervertebral disc herniation, and cancer-related pain.

The specialized pain clinic independently performs advanced interventional procedures with regional leading expertise, including intrathecal pump implantation, CT-guided celiac plexus neurolysis, selective spinal nerve root block, disc radiofrequency ablation, medial branch radiofrequency thermocoagulation, percutaneous lumbar discectomy, silver needle therapy for myofasciitis, ultrasound-guided release of stenosing tenosynovitis, and greater occipital nerve radiofrequency modulation. These sophisticated, minimally invasive interventions have earned widespread recognition and high patient satisfaction across the region.