Plastic Surgery - Integrated ACGME case minimums

Residents in Plastic Surgery - Integrated have a published ACGME minimum in 86 of 118 case categories, and the largest single minimum is 1,150. Each row below cites the ACGME requirement it was read from; the minimums are effective July 1, 2014.

By Chris, CA-1, anesthesiologyUpdated September 2026

Plastic Surgery - Integrated minimums by category

Plastic Surgery - Integrated: ACGME required minimums by category
Category	Resident Surgeon
TOTAL INDEX PROCEDURES	1150
TOTAL RECONSTRUCTIVE PROCEDURES	1000
TOTAL – Head and Neck Congenital Defects	50
Primary cleft lip repair	7
Primary cleft palate repair	7
Secondary cleft lip or palate repair	7
Cleft lip nasal deformity repair	—
Craniomaxillofacial reconstruction	—
Vascular malformation (laser)	—
Other head and neck congenital defect procedures	—
TOTAL – Head and Neck Neoplasms	70
Reconstruction after neoplasm resection with skin graft	—
Reconstruction after neoplasm resection with local flap	16
Reconstruction after neoplasm resection with free flap	2
Resection of skin cancer	—
Resection of other head and neck neoplasm	—
Other head and neck neoplasm procedures	—
TOTAL – Head and Neck Trauma	50
Treat occlusal injury	8
Treat upper midface fracture	8
Treat nasal fracture	4
Treat complex soft tissue injury	15
Other head and neck trauma procedures	—
TOTAL – BREAST PROCEDURES (RECONSTRUCTIVE)	100
TOTAL – Breast Macromastia	24
Breast reduction	24
TOTAL – Absent Breast	100
Breast reconstruction with implant or expander	30
Breast reconstruction with pedicle flap	4
Breast reconstruction with free flap	4
Secondary procedures	—
Fat grafting (absent breast)	—
TOTAL – Other Deformities of Breast (Reconstructive)	—
Treat other deformities	—
TOTAL – TRUNK PROCEDURES	25
TOTAL – Wounds or Deformities of Trunk	23
Treat pressure ulcer – debridement or VAC	3
Treat pressure ulcer with flap	5
Treat wounds of trunk with flap	15
TOTAL – Other Deformities or Disease Processes of Trunk	—
Treat other deformities	—
TOTAL – HAND AND UPPER EXTREMITY PROCEDURES	122
TOTAL – Hand and Upper Extremity Wound Requiring Reconstruction	23
Reconstruction by primary closure	5
Reconstruction with skin graft	5
Reconstruction with flap	6
Amputation	7
TOTAL – Tendon (Extensor or Flexor)	22
Repair/reconstruct tendon with or without graft	16
Operative release of tendon adhesion/tendon lengthening	4
Tendon transfer	2
TOTAL – Nerve Injury	10
Repair/reconstruct nerve with or without graft	10
TOTAL – Fracture or Dislocation	32
Operative repair of fracture or dislocation	30
Release of joint contracture	2
TOTAL – Dupuytren's Contracture	2
Operative treatment of Dupuytren's contracture (INCLUDING NEEDLE AND COLLAGENASE CODES)	2
TOTAL – Nerve Compression	16
Nerve decompression	16
TOTAL – Arterial Insufficiency or Traumatic Amputation of Digit, Hand, or Upper Extremity	4
Arterial repair, revascularization, or replantation of digit, hand, or upper extremity	4
TOTAL – Other Deformity or Disease Process	13
Arthroplasty/arthrodesis	3
Treat congenital deformity	2
Treat neoplasm (benign or malignant)	8
Other deformity or disease process procedures	—
TOTAL – LOWER EXTREMITY PROCEDURES	25
TOTAL – Lower Extremity Wounds and Deformities	24
Treatment with graft	12
Treatment with local flap	9
Treatment with free flap or revascularization/ replantation	3
TOTAL – Other Deformities of Lower Extremity	—
Treat other deformities	—
TOTAL – Integument Burns	24
Burn reconstruction	16
Other integument burns procedures	—
TOTAL – Lesions of the Integument	—
Treat benign lesions	—
Treat malignant lesions	—
TOTAL – Wounds and Other Lesions of the Integument	—
Treat deformities	—
TOTAL AESTHETIC PROCEDURES	150
TOTAL – Head and Neck Aesthetic Deformity	50
Facelift	10
Brow lift	2
Blepharoplasty	20
Rhinoplasty	10
Other head and neck aesthetic deformity procedures	—
TOTAL BREAST PROCEDURES (AESTHETIC)	30
TOTAL - Breast Micromastia	16
Breast augmentation	16
Fat grafting (breast micromastia)	—
TOTAL - Breast Ptosis	12
Mastopexy	12
TOTAL - Other Deformities of Breast (Aesthetic)	—
Other deformities of breast procedures	—
TOTAL - Trunk/Extremity Aesthetic Deformities	50
Brachioplasty	2
Abdominoplasty	10
Body lift	2
Thighplasty	2
Suction assisted lipoplasty	15
Other trunk/extremity aesthetic deformities procedures	—
Microvascular/free tissue transplant	20
Tissue expansion	30
TOTAL - Suction Assist Lipoplasty	15
Head and neck suction assist lipoplasty	—
Trunk suction assist lipoplasty	—
Extremity suction assist lipoplasty	—
TOTAL - Use of Injectables	21
Botulinum toxin injection	7
Soft tissue fillers	7
Autologous fat	7
TOTAL - Lasers	10
Alimentary Tract/Abdominal Surgery	20
Breast and Oncologic Surgery	20
Trauma/Critical Care/Anesthesia Procedures	20

Plastic Surgery - Integrated · ACGME specialty 362 · minimums effective July 1, 2014.

Capnolog counts these live for anesthesiology and neurological surgery; other specialties are reference only.

Capnolog for Plastic Surgery, coming soon

What counts toward a minimum?

Residents log each case against its CPT procedure codes, and the ACGME sorts those codes into the categories below.
Every number is a count in one column, “Resident Surgeon”.
109 rows are drawn from a larger row: those cases count toward that row too, never on top of it.
32 rows carry no published number and show an em-dash, which is not a minimum of zero.
The Review Committee for Plastic Surgery sets these requirements.

Where do these numbers come from?

Capnolog is independent of the ACGME. Where a number here and the ACGME's own document disagree, the document is right.