Only those applicants who have completed 6 years or training in aesthetic, plastic, and reconstructive surgery from an accredited plastic surgery residency program are permitted to take the written exam in plastic surgery and hand surgery after they complete their residency. The applicant then operates as a board-eligible plastic surgeon and collects patients and surgical cases. After 1 year, these cases are presented to the American Board of Plastic Surgery for selection. The board evaluates the breath of the practice of the applicant and invites them for an oral exam or post-pones them for another year to collect additional diversity of surgical cases. Once invited, all applicant arrive in a selected destination for 2 days of examination. The oral examination is based on your own plastic surgery and aesthetic surgery cases, as well as additional cases from the board. American Board of Plastic Surgery is the only board recognized by the American board of Medical Specialties in the filed of cosmetic and plastic surgery (www.abms.org).