The multitude of alphabet soup organizations and boards is very confusing for patients. The American Board of Plastic Surgery (ABPS) and the American Board of Cosmetic Surgery (ABCS) sound nearly the same, but there are vast differences. The American Board of Plastic Surgery is a real nationally recognized board, while the American Board of Cosmetic Surgery is a self proclaimed group of individuals who wanted to try to legitimize their entry into the field of cosmetic surgery without necessarily having the required legitimate credentials (actual completion of formal supervised plastic surgery training and board certification). In my opinion and that of most plastic surgeons, they have specifically chosen that name for a marketing benefit based on deception. The American Board of Medical Specialties (ABMS) oversees 24 medical specialty boards in the United States and is considered the gold standard of physician certification in the United States. While the naming of the boards seems similar, there is only one official plastic surgery board that is accepted in the U.S. and recognized by the ABMS as the standard for plastic surgery - and that is the American Board of Plastic Surgery. The designation as a Diplomate of the American Board of Plastic Surgery is reserved for surgeons that have completed a lengthy surgical residency training in plastic surgery, and then passed both the official extensive written and oral examinations under the strict rules of the ABMS organization. It is the highest standard available in the U.S. for plastic surgeons. Members of the American Board of Plastic Surgery are listed on both the ABPS’ and ABMS’ websites. The ABCS and several other so-called boards with similar sounding names are not recognized by the ABMS. ABCS is a self-designated "board" that "certifies" physicians of various specialties who wish to perform cosmetic surgery procedures--doctors who may have minimal if any true surgical training (and often only via weekend "courses”). They accept and credential physicians who do not necessarily have residency training in plastic surgery including general surgeons, emergency medicine doctors, family practitioners dermatologists, obstetric-gynecologists and others who can take their "certification" exam...without ever having undergone a single day of plastic surgery residency training. In some cases they have no formal surgery residency training at all. Furthermore, there are no cosmetic surgery certifications that are recognized by the American Board of Medical Specialists, nor is there any “board”, organization or academy that has the word “cosmetic” in it that is recognized by the ABMS. In addition the Medical Board of California formally rejected the ABCS’ application and request to be recognized as having legitimate board status. That rejection was legally upheld. Robert Singer, MD FACSLa Jolla, California