Objective: To take stock of the Anesthesia practice in maxillofacial surgery at the National Hospital of Niamey. Patients and methods: This was a prospective, descriptive study over 5 months from january 2,2024 to May 30,2024. All patients who had received scheduled anesthesia in the operating room for maxillofacial surgery were included in the study. The variables studied were: Age, sex, origin, profession, medical and surgical history, ASA classification, Mallampati classification, anesthetic drugs used, tracheal intubation, intraoperative incidents and accidents and patient outcome. Data were entered and analyzed by Microsoft 2016 and Sphinx.v5 Software. The statistical tests used were considered significant for any p-value <0.05. Results: Fifty-seven (57) patients were included; a frequency of 5.42%. Male sex predominated with a sex ratio of 2.27. The average age of our patients was 26,95 ± 3,28 years. The opening of the oral cavity was limited in 19.30% (n=11). The Mallampati class was not appreciable in 43,86% (n=25) of cases. Patients were classified ASA 1 in 75.44% (n=43). Surgery was scheduled in 98.25% (n=56) of cases. Traumatic and tumor pathologies were the most indicated surgeries in 40.35% (n=23) and 38.60% (n=22) of cases respectively. General anesthesia was the anesthetic technique in all our patients. Propofol was the most used hypnotic in 49.12%(n=28). Celocurine was used for induction in 85.96% (n=44). Orotracheal intubation was perfoomed in 71.93% (n=41) of our patients; it was difficult in 38.64%(n=16) of cases. Nasotracheal intubation was performed in 22.18% (n=13). Primary tracheotomy was performed in three of our patients; that is, 5.26%. Tachycardia and hypotension were the most frequent incidents in 33.33% (n=19) and 24.56% (n=14) respectively. Cardiopulmorary arrest occurred in 1.75%(n=1) of cases. Thirty-one point fifty-eight (n=18) of our patients had received a blood transfusion. The duration of surgery was 86 +/- 6 min with extremes ra