 Awake craniotomy is a gold standard of care for resection of brain tumors located within or close to the eloquent areas. Both a sleep-awake-asleep technique and monitored anesthesia care have been used effectively for awake craniotomy and the choice of optimal anesthetic approach is primarily based on the preferences of the anesthesiologist and surgical team. Propofol, Remefentanil, Dexmodetomidine, and Scalp-Nerve block provide the reliable conditions for intraoperative brain napping. Appropriate patient selection, adequate perioperative psychological support, and proper anesthetic management for individual patients in each stage of surgery are crucial for procedural safety, success, and patient satisfaction. This article was offered by Sung Hyun Kim and Sung Ho Choi.