Out-hospital day case surgery and anesthesia has become one of the fastest evolving concepts of the past decade. It represents reasonable and unavoidable trend in the medicine. However, in the Czech Republic it is not so. We name the reasons why the number of out-hospital anesthesia cases did not rise significantly. The main obstacle preventing further development of out-hospital anesthesia represents the economic implications associated with that type of anesthesia. We try to figure out what are our chances when comparing ourselves to the developed West European countries.

        Key words: fixed reimbursement – hospital day – day care – benefit