While the majority of plastic surgery is still done on women, a slowly increasing number of men are joining the ranks. While some of the procedures are clearly different between men and women due to obvious variations in anatomy, it is also important to recognize that these differences extend between the ears also. Men and women are psychologically and behaviorally different when it comes to cosmetic surgery procedures. In general, men are usually less knowledgeable about cosmetic surgery although this is changing in the internet era. They often present for treatment when their face and body concerns are more severe. Men have less tolerance and often unrealistic expectations for recovery after surgery. Similarly, they are less accepting of the risks of surgery. Men are more interested in one-time surgical fixes than they are in maintenance treatments. Unexpectably, men are often more demanding about the results of their surgery particularly that of younger men. Male plastic surgery involves more than just gender-specific operations but requires good patient management skills as well.