 Sugamadex is a modified gamma-cyclodextrin drug used to rapidly reverse the effects of rockuronium, a commonly used muscle relaxant, in anesthesia. It has become popular due to its safety, reliability, and predictability, as well as its ability to improve surgical outcomes when used during laparoscopy procedures. Despite this, recent studies have shown that there may be some potential risks associated with using too much or too little of the drug. Therefore, appropriate dosage and close monitoring of the patient's neuromuscular status are essential to ensure a successful outcome. This article was authored by Hinyan Li and Kite Yong.