Anesthesiology services are high-risk and require certainty regarding the authority, supervision, accountability, legal protection, and rights of anesthesiologists. This study analyzes the legal construction of the position of anesthesiologists, forms of disharmony in the delegation of authority, and the direction of regulatory harmonization that guarantee professional protection and proportional service compensation. The study uses normative legal methods with statutory, conceptual, and analytical approaches. Primary legal materials include health regulations and professional standards, while secondary legal materials include books, scientific articles, and previous research results; all of which are analyzed qualitatively through grammatical, systematic, and conceptual interpretation. The results indicate that Law Number 17 of 2023, Government Regulation Number 28 of 2024, Minister of Health Regulation Number 13 of 2025, and the Professional Standards for Anesthesiologists have provided the basis for professional recognition. However, the revocation of Minister of Health Regulation No. 18 of 2016 by Minister of Health Regulation No. 13 of 2025 has not been followed by equally detailed technical regulations regarding actions that can be delegated, levels of supervision, documentation, distribution of responsibilities, and service entitlement formulas. Harmonization needs to be realized through national guidelines that integrate the authority matrix, written delegation, credentials and supervision, division of responsibilities based on competence and errors, and service provision based on workload, risk, competence, and professional contribution.