[Set up in plastic and aesthetic surgery: personal experience].

The set up in liberal practice represents a real turning point in the professional life of a medical doctor. After more than 10 years under the hospital protection the objective is to create a structure, which is a real small company and the academic program does not offer any particular training corresponding to this important step. The author proposes to briefly relate his own experience and add few advice that will help the younger ones in their enterprise. It is necessary to properly reflect on several subjects before any decisions: location's choice, setup's mode (alone, with an associate or acquisition of existing clientele) and the choice of the surgical establishments. Other decisions are more personal as the decoration of the office, the computerizing, the assistant's recruitment and the orientation of the surgical activity. Our specialty presents several specificity that have to be properly evaluated and some choices do not have to necessarily correspond to an economic or demographic logic. The aesthetic surgery is democratizing itself and the request of surgery is in constant increase. We must then have a strong preparation and look forward to the future with serenity giving to ourselves every means for professional success.