Where I work - Cosmetic Surgery Center - the surgeon administers the botox for cosmetic purposes and the CRNA administers the anesthesia. I asked the CRNA about administering botox and he stated he has never administered it for cosmetic or pain management reasons. He does not want to start administering botox and he could only administer it for pain management, not cosmetic. Funny, I saw this forum today and I am wearing my botox shirt.