With development of the ideas and the relevant technology of cardiac surgery, the upgrading of anesthesia management has become a requisite for clinical anesthesia． Summarize the new concepts and methods of cardiac surgery and anesthesia management in recent years by reviewing literature. Reviewing documents on cardiac surgery and summarizing the latest suggestions about the preoperative evaluation, the management of cardiopulmonary bypass(CPB) and post?蛳operative analgesia, the prevention of postoperative cognitive dysfunction, and the parctice of blood conservation. Learning the latest trend of anesthesia management that changed with the cardiac surgery is helpful to the clinical practice in anesthesia and the safety of anesthesia and patients.