There are many medical inaccuracies perpetuated by the Internet. Some patients believe that a total capsulectomy is necessary to remove all causative agents, and they prefer it be en bloc — oftentimes without having a full understanding of what size incision is necessary for en bloc procedure. We like to discuss the reasons why we would perform a total capsulectomy with any patient. Not all plastic surgeons routinely perform a capsulectomy with explant, but some do. It is important to explain that it’s not always possible to remove all of the capsule. Sometimes a portion of the capsule must be left behind or is disintegrated with the use of electrocautery to prevent significant damage to muscle, rib, or lung. A larger incision is needed for an en bloc capsulectomy. If axillary approach or periareolar approach was used for breast implant placement, it must be noted that patients cannot have the procedure done through those incisions. There are increased surgical risks associated with en bloc capsulectomy which requires a complete dissection of all the tissues surrounding the breast implant. We do not have enough collective data to guarantee any improvement in symptoms labelled breast implant illness.