| Summary: | <p><strong>Introduction:</strong></p><p>Anesthesia for juvenile angiofibroma is one of the most complex interventions within otolaryngology, since incoercible bleeding causes acute hypovolemia, which occurs in a short period and leads to hypovolemic shock and death if not treated properly.</p><p><strong>Objective:</strong></p><p>To carry out an update about the perioperative period of anesthesia in juvenile angiofibroma.</p><p><strong>Development:</strong></p><p>Blood losses must be minimized at all costs. The best association was induced hypotension, hypovolemic hemodilution, and autologous blood predeposit, with angiography and selective arterial embolization of the tumor.</p><p><strong>Conclusions:</strong></p><p>Surgical removal of juvenile angiofibroma is a high-risk intervention. The work team is an essential element. The association of induced hypotension, hypovolemic hemodilution, and autologous blood predeposit are the fundamental pillars for the best evolution of these patients.</p><p><strong>Keywords</strong>: juvenile angiofibroma; anesthesia; blood-saving methods; complications.</p>
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