As the patient population becomes more complex, our inpatient endoscopy unit (GIU) has increased its dependence on the anesthesia (ANES) department to assist with monitored anesthesia care (MAC) sedation. However, ANES staff availability is limited and can result in delays in procedure start times or cancellations of non-urgent cases at our busy academic center. Formerly, our sedation planning (FS) relied on attending preference and experience, and was affected by ANES availability. Therefore, we introduced a standardized sedation classification system (SS) to more adequately identify cases able to be performed with moderate sedation (MS) and decrease reliance on ANES support.