# Anesthesia One vs Anesto

The clearest difference is update cadence: Anesto at every 5 days against Anesthesia One's every 4 months. On price, rating, review sentiment and ratings volume there is nothing between them.

Both are free to download. Anesthesia One sells 2 in-app purchases, starting at $0.99 per month and Anesto sells 2 in-app purchases, starting at $6.99 per month. Whichever you choose, the download price is not the number that matters.

On the App Store both sit at effectively the same score — 4.8 for Anesthesia One against 4.8 for Anesto. Both are backed by a comparable volume of ratings — 6 and 6 respectively. Written reviews split almost evenly too, at 100% and 100% positive.

Anesthesia One ships an update every 4 months, Anesto every 5 days. The most recent releases landed on October 24, 2026 and October 25, 2026 respectively.

## The numbers

| Metric | Anesthesia One | Anesto |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.8 (6 ratings)](https://appshunter.io/ios/app/anesthesia-one/id6503323182/reviews) | [4.8 (6 ratings)](https://appshunter.io/ios/app/anesto-anesthesia-case-log/id6759203365/reviews) |
| Number of ratings | 6 | 6 |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 4 months | **Every 5 days** |
| Monetization | Freemium | Free with in-app purchases |
| Size | 96 MB | 72 MB |
| Requires iOS | 15.1 | 15.1 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 4+ |
| Developer | [anaesthesiaone](https://appshunter.io/developer/1688877450) | [LEO PAUL DRUKER](https://appshunter.io/developer/1877386671) |

## What reviewers say

### Anesthesia One

[App page](https://appshunter.io/ios/app/anesthesia-one/id6503323182)

This medical app provides a comprehensive toolbox for anesthesia care professionals. It offers customizable tools, an AI-powered assistant for case-specific guidance, and a natural language search for anesthesia guidelines. It works offline and allows users to save and share case logs.

**Highlights:** Customizable tool arrangement, AI-powered case assistant, Natural language guideline search, Offline functionality, Save and share case logs, Risk calculators and practice guidelines

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Monthly Pro | $0.99 | per month |
| Yearly Pro | $9.99 | per year |


### Anesto

[App page](https://appshunter.io/ios/app/anesto-anesthesia-case-log/id6759203365)

Streamline your anesthesia case logging with AI-powered voice or text input. Track ACGME progress, generate credentialing reports, and manage your case history effortlessly. Designed for anesthesiologists, residents, and CRNAs.

**Highlights:** AI voice and text case logging, Structured clinical records, ACGME progress dashboard, Hospital credentialing reports, CRNA practice model tracking, Cloud backup and sync, Offline functionality

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Anesto Pro | $6.99 | per month |
| Anesto Pro (Yearly) | $69.99 | per year |


## Frequently asked questions

### Is Anesthesia One free?

Anesthesia One is free to download, with in-app purchases available.

### Is Anesto free?

Anesto is free to download, with in-app purchases available.

### Which has better reviews, Anesthesia One or Anesto?

Anesthesia One and Anesto are both rated 4.8 out of 5 on the App Store, from 6 and 6 ratings respectively.

### Do Anesthesia One or Anesto have ads?

Neither Anesthesia One nor Anesto shows ads.

### Which is updated more often, Anesthesia One or Anesto?

Anesthesia One ships an update every 4 months, and Anesto every 5 days. Most recently, Anesthesia One was updated on October 24, 2026 and Anesto on October 25, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*