Following up on the successful BeSARPP annual meeting on sustainability in anesthesia held on November 2022, the Board Members of BeSARPP met to draft recommendations regarding the use of inhaled anesthetics, that would help anesthesiologists decrease the professional environmental impact of their daily practice in the operating room. This manuscript discusses the rationale for these recommendations. The major premise was none of these should compromise patient safety or the level of care we provide to our patients. For measures beyond those addressing the use of inhaled anesthetics, the reader is referred to other recommendations that can decrease the environmental footprint of anesthesia and perioperative care in general1.