Buttock-contouring is a complex process which requires individualized patient evaluation and proper choice of the surgical procedure(s) to accomplish the desired results. It is getting more and more popular with increasing number of patients asking for it. There are several available surgical modalities that can be used independently or in combination. The proper choice and combination of these procedures will determine the degree of achievement and maintenance of favorable results. Good results are achieved with thorough evaluation of the problem, careful planning, good selection of patients and procedure, and refined surgical techniques.