There are numerous boards of surgery. There is a board of cosmetic surgery and a board of facial plastic surgery (these are ENT surgeons) Understandably it is difficult for a consumer to differentiate and identify the most qualified face lift surgery. The only board of plastic surgery recognized by the graduate medical education is the American Board of Plastic Surgery. Since its inception in 1937 the American Board of Plastic Surgery has awarded certification to roughly 10,000 surgeons of which 6,900 are currently practicing. To be board certified by the American Board of Plastic Surgery a plastic surgeon must complete a residency in plastic surgery as well as a written and oral examination. The plastic surgeon must submit his or her operative log during their first few years of plastic surgery practice and the board will examine the candidate on cases selected at random. 20% of plastic surgeon fail their oral boards the first time they take them. The consumer should be familiar with the American Board of Plastic Surgery.