To be board certified means that a physician has passed a board exam. There are many different boards which claim to certify physicians to perform plastic surgery. American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) surgeons are certified by boards recognized by the American Board of Medical Specialties (ABMS). A facial plastic surgeon is usually board certified in otolaryngology – surgery of the head and neck. To become board certified, a physician must pass a series of rigorous oral and written tests about medical procedures and practices. Many AAFPRS surgeons, including Dr. Wayne, specialize further by undertaking an additional year’s fellowship in facial plastic surgery to become certified by the ABFPRS.