Safety in surgery centers has well been established to be as safe if not safer than in-hospital.The issue is to make sure that the out patient facility is fully accredited, AAAAASF, AAAHC where they must meet the strictest standards for patient safety, AAAASF the gold standard.The physician must be Board Certified Plastic Surgeon.Brazilian Buttock Enhancement has the risk of fat emboli and that can be serious. The American Society of Plastic Surgery has a task force to study that issue.It is important to follow the best practices while performing BBL. The requests of patients to inject huge amounts of 800-1000cc of fat in each buttock creates tremendous pressure and could be a factor, injecting fat into the muscle is an absolute no.Taking precautions and expertise Real expertise not paid reviews and advertising is important and self labeling as experts in the field. Choosing the right patient, healthy no associated diseases, no other risks of blood cots and realistic expectations.