Several articles have been written in the medical management literature about the trend for large, for profit anesthesia management groups to take over anesthesia service contracts and displace established work groups. The Chief CRNA section of www.procrna.com has two articles related to this threat to our practice. It is a "must read" for anybody working with an independent work group. We must be vigilant not only with our patients but also with our practice contracts. www.procrna.com