Eight renowned surgeons responded to questions centering on "difficult patients" in facial plastic surgery. Questions ranged from, "How do you manage a postoperative patient who looks 'OK,' if not great, to you but complains about the result?" to "What 'pearl of advice' would you offer a novice surgeon on how to best avoid difficult situations with their patients?" The surgeons taking part in the discussion, from different practices in different parts of the country, provided a lively discussion based on their years of experience.