The document outlines 7 steps for managing patient expectations in cosmetic surgery practices: 1) Good communication to understand patient motivations and listen for concerns. 2) Educate patients on procedures, benefits, risks, and policies without exaggerating outcomes. 3) Set realistic aesthetic goals and don't give false hope about results. 4) Use before/after photos, imaging, and educational videos to show examples. 5) Reinforce the mutual understanding of goals and realistic expectations. 6) Prepare patients for recovery timelines and emotional aspects. 7) Encourage reliable research from professional sources rather than online forums. Following these steps increases patient satisfaction, practice revenue, and decreases surgical revisions and legal claims.