The success of any plastic surgery practice rests on patient satisfaction. Disappointment is a natural consequence of unmet expectations. Plastic surgeons attempt to mitigate disappointment through detailed discussions and documentation. The surgeon explores the patient’s goals as well as surgical and psychological complications, all the while avoiding promises and guarantees to manage the patient’s possibly unrealistic expectations. Plastic surgeons are largely successful in this effort but not always. Lawsuits are the quintessential expression of patient dissatisfaction. In the accompanying article, “Unattractive Consequences: Litigation From Facial Dermabrasion and Chemical Peel Procedures,” the authors have examined 25 legal proceedings to determine why a patient becomes a plaintiff.1 As with any retrospective analysis of lawsuits, conclusions hinge on whether the sample pool represents the general population. Here the data source is Westlaw, which, similar to LexisNexis, obtains published appellate court decisions from all state and federal courts.2 State trial court decisions, jury verdicts, and settlements—which are not published in bound volumes gathering …