Plastic surgery has progressed beyond the skill of filling holes to the art of reconstructing aesthetically. The reconstructive surgeon's creed sets the ultimate goal at the ideal normal and, with the aid of the basic plastic surgical techniques of advancement, rotation, transposition, free groft, pedicte transportation, microvascular anastomosis, and Silastic implantation, takes what is present in excess or what is expendable to make what is desirable. Surgical results depend on the imaginative choice of these methods and the meticulous craftsmanship of ther execution, considering selection of donor area, use of landmarks, and building in regional units. These principles are universally applicable, as shown in the neck, the lip, the nose, and the breast.