In this episode, our trio of veterinary anesthesiologists welcomes back human anesthesiologist Dr. Mika Hamilton for a candid, cross-species comparison of anesthesia care. We explore how human and veterinary teams approach pulmonary hypertension, the monitoring tools each relies on, and how availability, training, and patient factors shape real-world decision-making. From advanced invasive monitors to making the most of what’s on hand, this conversation highlights both the contrasts and the shared goals that unite anesthesia across species.