Anesthesiology is a dynamic specialty of medicine that fosters continuous improvements in anesthetic care for patients undergoing surgical procedures. The preoperative (pre-op) evaluation of a patient is vital for reasonable and acceptable patient care. Inadequate pre-op patient preparation causes medical, organizational, economic, and emotional problems to patients and professionals. There are no standards for the level of knowledge and skills of an anesthesiologist worldwide; the difference is more dramatic, especially in a country without proper residency education. It can be life-threatening, especially during urgent cases where resident anesthesiologists evaluate patients frequently at the bedside before the procedure. Smart-anesthesia project is an innovative online preoperative anesthesia evaluation application (App), uses artificial intelligence (AI), gives perioperative anesthesia recommendations. The app is available for smartphone/tablet/laptop and compatible with android/IOS/windows, which is useful for elective/urgent procedures. A printable assessment document with an anesthesia recommendation list is available. Compatible with ICD-11 codes to avoid terminology and grammar-related issues. Minimal handwriting for maximal automation. Rapid screening and assessment of patients with a user-friendly interface. Safe practice of anesthesiology with recommendations by analyzing data with updated American Society of Anesthesiologists (ASA) guidelines. An automatic ASA scoring will be available. A universal preoperative assessment tool that connects anesthesiologists around the world with a common language for safer anesthesia practice.