SDN Members don't see this ad. (About Ads) So far, I have only one LOR from anesthesia but it is from the former dept. chair and he is apparently known due to his being a board examiner,etc. I will have four LORs total soon; one from OB/GYN and two from IM, both courses which I received high honors in. I may also have a surgery LOR coming but am not sure. My question is whether I need more anesthesia LORs or will this suffice to be competitive at top programs?