Over the past few years, I have certainly been a zealot when it comes to promoting the perioperative checklist. As with religion, once you “see the light,” all you want to do is bask in it and encourage others to do the same. Paradoxically, this mission has been a labor of love. The majority of my colleagues, of every surgical persuasion, have not adopted checklists as earnestly as I have delivered the message. Looking back, I have heard “everything”: from understandable hindrances caused by institutional barriers, to apathetic excuses immunized by the sanctum of private practice. Perhaps the only way to become a believer is to create your own operative checklist, conduct your own “controlled” experiment, and experience your own revelation: seeing is truly believing.1 Clearly, there can never be a level I study to otherwise prove this outcome. No one would allow for random logistical errors and chart their consequences. As I reflect on my own 15-year checklist experience, my team would be quick to point out the innumerable instances in which the checklist has prevented “near-miss” events: errors that I have called errors of omission. Decidedly, my checklist has become part of a larger personal philosophy; a singular expression of an overarching goal: put simply, to get better. This should come as no surprise to plastic surgeons. It is in our DNA to strive to get better, all the time. This is what simultaneously drives us, haunts us, inspires us and, together, pushes our field forward. Our everyday practices are simply honing stones on which our skills should be sharpened. The key word is “should,” because it is insidiously easy to establish a standard of care that is too comfortable. In fact, we have only ourselves to move the target a little farther away every time we rashly think we have reached it. Otherwise, a practice ceases to be a true “practice” and instead evolves into a mill. To this end, the surgeon must embed multiple prophylactic modalities, beyond my original “operating room checklist.” For this purpose I now propose a more encompassing mandate: a “practice checklist.” This checklist extends the narrow scope of procedural mandates to encompass the holistic elements of managing the entire patient experience, from the design of the incision to the longevity of the outcome. This broader effort goes beyond reducing errors of omission to include those of commission. Notably, these errors should not only encompass the usual litany of “physical” complications. As aesthetic surgeons, we must be willing to consider our “aesthetic” complications as well. To this end, the following list of surgical criteria and goals fittingly reads like entries within the Guinness Book of World Records: