We read the article "Pediatric Anesthesiology in Brazil, Chile, and Mexico" [1] with great interest, and applaud the authors for sharing the current state of pediatric anesthesiology in these countries. We would like to share the reality of this sub-specialty in Colombia. Colombia currently boasts a population of 48 million people, of which 12 million (~25%) are under 15 years of age [2]. Recent statistics have indicated that there are around 3,180 anesthesiologists in the country, with an estimated 5 anesthesiologists for every 100,000 Colombians [3]. To become an anesthesiologist in Colombia, one must graduate from high school and be admitted to medical school via an application process that takes into account high school grades, extracurricular activities, and the score achieved on the national standardized exam taken by all high school graduates (ICFES). Medical school is 6 years on average, with the first 3 years composed of basic science, 2 years of clinical rotations, and a final year of internship. Subsequently, one must then gain admission to one of the 24 anesthesiology residency programs in the country, where training spans 3 to 4 years (depending on the program). Through this pathway, around 120 anesthesiologists enter the workforce every year. Unfortunately, there are no pediatric anesthesiology fellowship programs in the country for those who want to pursue formal training [4]. The country's Ministry of Education and Ministry of Health have not considered pertinent the creation of this fellowship, even though there have been efforts in the past. The ministry justifies this with the concern that sub-specializing will deter anesthesiologists from practicing the full scope of their specialty, and that there will not be enough pediatric anesthesiologists to cover the needs of the whole pediatric population [4]. Throughout residency, programs have an estimated 2 to 5 months dedicated to pediatric anesthesiology. Of the residency programs in the country, 91% have a singular anesthesiology rotation, while the rest have exposure twice throughout residency [5]. Many countries have set an amount of pediatric cases that must be met to graduate as an anesthesiologist; however, these goals are not defined in Colombia. Having a pediatric anesthesiology rotation does not necessarily guarantee that the resident will acquire the necessary knowledge to care for complex pediatric patients. Furthermore, there are only 11 pediatric-centered hospitals in Colombia; however, many of them do not exclusively attend pediatric patients. Of the entire anesthesiologist population in the country, only an estimated 100 physicians have further training in pediatric anesthesiology, either obtaining formal training outside of Colombia or dedicating their practice exclusively to the pediatric population [6]. Due to the fact that pediatric anesthesiology fellowships do not exist in Colombia, the Colombian Society of Anesthesiology and Resuscitation (SCARE) has emphasized continued medical education efforts to keep physicians updated on pediatric anesthesiology. Many initiatives have been created, such as virtual courses, symposiums, and conferences, with the assistance of many different institutions. Examples of these are the South Colombian conference of pediatric anesthesiology and pediatric critical care, the international pediatric anesthesiology conference in Bogotá, and the Safer Anesthesia from Education (SAFE) pediatrics course by the Association of Anaesthetists (United Kingdom) and the World Federation of Societies of Anesthesiologists (WFSA) in Medellín. There was also a remarkable educational initiative undertaken by multiple medical centers in Colombia, supported by the SCARE, allowing anesthesiologists to receive 1 year of post-graduate training in pediatric anesthesiology. The program lasted for 6 years, but unfortunately could not be sustained because a formal association with an accredited educational institution was demanded by the government, which could not be established due to the Ministry's aforementioned concerns. Recently, the Association for the Safe Practice of Pediatric Anesthesia (APSAP, for its initials in Spanish) was created in Colombia, as a response to the growing number of formally trained pediatric anesthesiologists in the country. Its objective is to promote high safety standards in the practice of pediatric anesthesia in the region. This is being achieved by supporting educational initiatives, research, and gathering those with the experience and training in this field. This association seeks to establish pediatric anesthesiology as a recognized subspecialty in Colombia and create fellowship training programs, providing professionals with the necessary tools to ensure a safe practice. Similarly, it aims to focus on the formalization of educational programs in pediatric anesthesiology with university recognition, as well as developing continuous education at all levels, with the goal of reducing adverse events associated with unsafe anesthesia care. As mentioned by Cabrera and Reinoso, it is difficult for low- and middle-income countries to have a dedicated pediatric anesthesiologist who only attends pediatric patients [4]. In Colombia's case, this is intensified due to the relative scarcity of anesthesiologists. However, it is plausible to have a pediatric anesthesiologist tend to those patients who are at higher risk for complications, such as neonates, children under 2 years of age, critically ill children, and those undergoing high-risk surgeries. Luckily, as mentioned above, Colombia has made an active effort to create educational initiatives to keep general anesthesiologists up to date on pediatric anesthesia management and is moving forward in the creation of more pediatric anesthesiology educational opportunities. The authors have nothing to report.