Anaesthesia education in Belgium is a well-structured and evolving system that emphasizes practical training and patient safety. Medical training begins with a three-year Bachelor of Medicine program, followed by a three-year Master of Medicine program. After obtaining a Master of Medicine, graduates can pursue further postgraduate training to achieve specialisation in specific fields. To become an anaesthesiologist, one must obtain an advanced Master of Medicine in Specialist Medicine - Anaesthesia and Resuscitation while simultaneously completing five years of residency training. This article provides an in-depth overview of the anaesthesia education pathway in Belgium, highlighting the unique features of the system and its effectiveness in preparing practitioners for the field. The selection procedure and training process are detailed, emphasizing elements that are integral to the Belgian system. The article also discusses the challenges faced by the system, including the rapid advancement of medical knowledge and technology and the shift towards competency-based medical education and simulation training.