The article addresses sustainability in anaesthesiology and highlights the need to go beyond the traditional focus on carbon footprint alone. The authors emphasize that true sustainability in anaesthesia requires system-level changes that encompass a broader perspective on environmental and social impacts. The article was published in the journal Anaesthesia, Volume 81, Issue 9, in September 2026. It discusses the necessity for transformation in anaesthetic practice approaches to achieve long-term sustainability. The contribution emphasizes that changes must be implemented at the healthcare system level, not merely at the individual level. The goal is to create a more comprehensive framework for sustainable anaesthetic care.