Background: Smooth functioning of countries healthcare services require balanced distribution of physicians among different specialities. Each country needs to examine the factors influencing career specialty preference which will be helpful in future recruitment process. Aims: To assess the awareness and attitude towards anesthesiology as a career option and the factors which influence in making such a choice. Methods: A crosssectional study was conducted on final year MBBS students in Navodaya Medical College, Raichur. A semistructured, self-administered questionnaire copy was distributed to a total of 113 final year MBBS students and results were analyzed using SPSS version IBM 22. Results: The most preferred specialty was General Medicine (18.45%), followed by general surgery (15.53%) and orthopedics (14.56%). Among males the most preferred specialty was general medicine (27.12%) and among females obstetrics and gynecology (27.27%) was the most preferred specialty. The most common reason for not choosing anesthesia as a career choice was lack of recognition by patients (24.71%) and the most common reason behind making a career choice was personal interest (19.42%). 30.8% students found that anesthesia as a specialty was interesting and life saving and 37.5% students found that anesthesia posting was interesting and important. Conclusion: With only 2% students choosing anesthesia, it is vital to provide adequate aids and emphasize on the positive aspects of anesthesia among the undergraduates to create interest in anesthesiology as a career choice.