Class C status is only awarded to Facilities which are certified to monitor all types of anesthesia. Types of anesthesia include General Anesthesia, IV anesthesia, and local anesthesia. There are only 8 Class C Surgery Centers in the State of Maryland. In order to attain and re-certify with the AAAASF, 100% compliance is demanded. Facilities must satisfy every single criteria for certification. If any single criteria is not met, than they are denied accreditation.