Sir,After getting certified as Doctor of Medicine (MD) in Anaesthesiology, I feel that I am now at the same cross-roads that I was after I had cleared my MBBS entrance examination, with a number of questions hovering in my mind.Should one go for further specialisation or stop at MD? The dilemma on decision to superspecialise is multifactorial and depends on personal interest, the reality of financial burdens, and the career pathway the resident chooses.[1] In my opinion, this is a competitive world. To be recognised as a pioneer in any field, one needs to have a degree in that field, else no one values you, even if you are right. So, I feel that further superspecialisation is important.What superspeciality should one choose? This is a difficult task. I have always been fascinated by the brain and the mysteries it holds in its gyri and sulci. Neuroanaesthesia is a good career option, has its share of adrenaline-filled work, and yet, has the potential for a good work-life balance. It is amazing to see how the heart can be stopped and started at will. Nothing is more fascinating than the dynamicity of the heart and the ability of the cardiac team to somehow control it. The skill of intraoperative echocardiography is also a great opportunity to understand and master the cardiac dynamics. He who masters the heart knows no fears. So, cardiac anaesthesia would be a good career option to choose, but certainly not for the weak 'heart'ed ones.Caring for the children keeps one young in mind and body. The physiology of the paediatric patient, need for extra vigilance, less margin of safety for errors and complexity of assessing the perioperative dynamics e.g., pain management, is entirely different. I feel that the thrills that the speciality of paediatric anaesthesia offers are unmatched.Nothing is more satisfying than salvaging a critically illpatient. The exciting prospect of working with a multi-disciplinary team is also something that can tempt one towards the critical care speciality. The question is that will one miss out on being an anaesthesiologist if one becomes an intensivist?The allaying of pain and suffering in a terminally ill patient in the speciality of palliative care is probably a cathartic experience. However, the prospect of a cure is less likely in such patients and thus, the satisfaction of curing the patient will probably be lacking. Even though this branch is developing in India, the scope is pretty good abroad. If one chooses this branch, will he/she miss the active environment of the operation theatre?Another adrenaline-filled branch is trauma anaesthesia. Getting a non-optimised patient in a state where his body physiology has taken a hit, be it hypovolemia, hypothermia, coagulopathy, acidosis, etc., is challenging. This field needs brisk reflexes and decision-making skills as every second matters.Obstetric anaesthesia is a responsible area to work in, wherein our clinical decision is always influenced by both the mother and the foetus.All careers comes with their own cons. The issues associated with anaesthesiology, as stated by anaesthesiology post graduate students are lack of recognition, dependency on surgeons, need to deal with emergencies at odd hours, stress-filled adrenaline rush, requirement of a vast knowledge of physics and medicine and frequent encounters with medico-legal suits to name a few.[2] What career issues can I face when I start practising? Will I as an anesthesiologist be able to earn a decent amount of money? Time alone will provide an answer to all these questions.