Laser liposuction is the latest of a long line of medical products marketed to physicians and simultaneously to patients leading to a situation where patients are seeking procedures touted by the companies who make the machines. In fact, a major aspect of the sales pitch to physicians includes a national marketing campaign and the promise of directing patients to the physician through the national marketing campaign. The marketing assumption is that liposuction is innocuous, everyone is a candidate and laser liposuction is the state-of-the-art for fat reduction. The sales pitch to physicians does not include a credential check, nor any kind of surgical credential questioning. In other words, these companies continue to sell a very dangerous surgical implement to almost anyone with the money, without appropriate training and without any previous liposuction experience. Since many of the purchasers are sold on ridiculously optimistic marketing projections, trying to justify the huge capital expense for a machine with a less than two year technological window. It is very easy to understand why there are intense pressures on the physician/owners to relax whatever indications that may exist for laser liposuction. Unfortunately, many of these physician/owners are not Plastic Surgeons, do not have the depth of knowledge nor experience to loosen the indications for liposuction. Furthermore, a real surgical procedure that has an implicit set of complications due to the laser technology in the hands of possibly inexperienced operators has led to an astounding array of skin and contour problems that have proven difficult to repair even for the most gifted board certified Plastic Surgeons. There has become a cottage industry of complicated cases that need the attention of our best surgeons as the inexperienced laser liposuction physicians cannot be expected to find solutions for the difficult problems they have created.