Hey everyone. I'm confused and overwhelmed by my current situation, and was hoping you all could give me some friendly advice. I'm currently a categorical general surgery intern at a program in NY. I basically went to medical school so that I could become a surgeon, and never seriously entertained any other career choices. Now that I'm 8 months into my intern year, I've realized that I made a mistake. Surgery is not nearly as exciting as I thought it would be, and I'm looking to make a switch. I did an anesthesiology rotation a few months back, which I loved. Turns out that the stereotypes I had in medical school were not as accurate as I thought. So, now I think I want to switch, but there are a few problems. I was a fairly average medical student (middle of my class, 212 on Step 1, 232 on Step 2) and don't know how competitive I'd be for anesthesia. Second, the timing is bad. I wish I'd figured this out earlier, because I fear there will be no spots to switch into for 2007. I could stay in my program another year and then re-apply, but would I do so through the Match or outside of the Match? Do I tell my program director that I'm not happy in surgery now, or do I wait until I have another spot secured? (I'm pretty sure he'd keep me on for next year anyway, as he'd be hard pressed to find a good replacement for me now.) How do I get LOR's for anesthesia, since my med school ones are all from surgeons, and I'll probably need new ones anyway? How would I go about looking for open spots in anesthesia? Is it even possible for a surgery resident to switch to anesthesia, or would the programs not take me seriously? I know these are a lot of questions, but I feel very lost... any advice you guys have would be much appreciated! Thank you!