 Plastic surgeons from other countries outside the U.S. and Canada must be members of their national society in either the International Confederation for Plastic, Reconstructive and Aesthetic Surgery (IPRAS) or the International Society of Aesthetic Plastic Surgery (ISAPS).Besides certification, membership requires a plastic surgeon to regularly attend continuing medical education courses, perform a minimum amount of aesthetic plastic surgery procedures and to adhere to a code of ethics.All ASAPS members are required to perform surgery in accredited surgical facilities.