Dexmedetomidine's features enable for its use in elective operations such as awake fiber optic intubation and neurosurgical anesthesia. Topics that have not been covered before are being discussed now. Due to the fact that they have an impact on the surgical course of the patients, these topics must be thoroughly investigated. These advantages must be evaluated against the principal downside of Dexmeditomidine therapy, which is the likelihood of hemodynamic irregularities during the course of the treatment.