The Editor,This editorial entitled “Evolutionary change: The new face of Annals of Cardiac Anesthesia” addresses an important issue which is involved with major and general suggestions in my knowledge.The major part touches the digitalization, and general part touches the spirituality and medical education among residents, doctors, and research scholars.[1] Presently, we have no time and patience to know new tools and techniques like digitalization. However, certainly it helps a lot for students, researchers, physicians and patients as well.[2] Recent advanced countries are developing new innovative tools and techniques which are designed for new protocols for public health.[3] There is a strong attitude amongst youngsters to learn new concepts related to cardiac diseases rather than know more about older concepts.[4] Although, Annals of Cardiac Anesthesia has given very good output and inputs, I am requesting this adequate letter for critical appraisal of this journal wherein, it is necessary to bring out the best outcomes in future, also. Finally, one more suggestion and request to honorable editor and that is add to ZOTERO software for the journal cum authors benefit for reference setting. Zotero is a research tool that helps users collect and organize sources. It is a free, open-source program that can be downloaded as a browser extension for Firefox, Chrome, and Safari and as a standalone program that works with Windows, Mac, or Linux systems. It is a desktop application that lives in your browser. This may kindly be included to enhance the journal glory.