Unfortunately, anyone with an M.D. degree can perform a tummy tuck in California.The critical importance of the choice of the plastic surgeon who will perform your aesthetic (cosmetic) surgical procedure cannot be overstated. The plastic surgeon should as a minimum requirement be certified by the American Board of Plastic Surgery (ABPS). Physicians in both the American Society for Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS) are board certified in plastic surgery and are capable of performing the procedure. However, if a member of my family planned to have a cosmetic surgery I would want the surgeon to be a member of the American Society for Aesthetic Plastic Surgery (ASAPS) because: Membership in ASAPS requires that the plastic surgeon be board certified by ABPS for at least three years and have performed a minimum number of aesthetic cases.Members must be invited to apply; they cannot simply submit a check and become a member. There is additional screening of members’ practice profiles and adherence to ethical guidelines.Before being eligible to be an ASAPS member, the plastic surgeon must attend one ASAPS Aesthetic Meeting. The Aesthetic Meeting is attended by board certified plastic surgeons only and is regarded as the gold standard in aesthetic education.Many ASAPS members do some reconstructive surgery such as breast reconstruction. However, the majority of their practices focus is directed toward cosmetic procedures.As the leading organization for aesthetic education, ASAPS members have access to the latest proven techniques and procedures.ASAPS members must adhere to strict rules concerning performing surgery in a surgical facility that is accredited by a national accrediting organization like the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) or a licensed hospital. Safety should be and is always the main concern. Any physician can self-identify as a surgeon and as a cosmetic surgeon with little or no formal training in plastic surgery. Not everyone who calls themselves a plastic surgeon is Board Certified by ABPS and not every board certified plastic surgeon meets the qualifications to be a member of ASAPS. The Medical Board of California does not recognize any board with the word cosmetic in it as a legitimate board with equivalency to the American Board of Plastic Surgery. It is crucial that you use extra thoughtfulness in taking care of your body and your health. It makes sense to see an ASAPS member, the surgeon with the most current knowledge and expertise who specializes in aesthetics of the face, breast, and body. Robert Singer, MD FACS La Jolla, California