Healthcare expenditure in the United States (US) is a constantly growing and costly endeavor for the American economy, as evidenced by the $3.8 trillion spent by the US on healthcare in 2019, accounting for 17% of the gross domestic product for the nation (CMS, 2020). Healthcare cost reduction is a priority topic, with the term ?waste? referring to various organizational and physical expenses (Shrank, 2019). To date, neither quality improvement project has been implemented at the Veterans Affairs Portland Healthcare System (VAPORHCS) to assess the waste generated by its anesthesia department. Specific Aim: Identify and estimate the quantity and cost of VAPORHCS anesthetic waste by March 2022. Educate the VAPORHCS anesthesia staff about their baseline waste and provider practice and reassess for a reduction in the frequency of overall waste and of specific anesthetic items by May 2022.