The American Society of Plastic Surgeons is the largest plastic surgery specialty organization in the world, established in 1931 and headquartered in Illinois. Plastic surgery can be reconstructive to repair trauma from accidents, birth defects, or cosmetic to alter appearance, with cosmetic procedures becoming more common. Medical tourism offers lower rates abroad but safety risks include surgeon qualifications, facility equipment, and complications handling. Patients should consider a surgeon's qualifications, facility safety, and long-term satisfaction before any plastic surgery.