US Anesthesiologists make a median of $472k, placing us in the top 1 percentile of US income. As a profession, we are fortunate to be the wealthy in society based on income standards, although the wealthy usually only perceive those making far more than themselves as wealthy. According to the Medscape compensation report, anesthesiologists rank 8th in compensation among all physician specialties yet 46% believe they are not being paid fairly. Perhaps this is due to work hour demands or a large standard deviation in anesthesiologist pay, but it is curious nearly half of anesthesiologists, among the highest income earners in America, believe themselves to be unfairly paid.