The adoption of endoscopic surgical techniques adds an important new t
ool for the plastic surgeon but adds new complexities of operative set
up and instrumentation. Familiarity in choice, design, function, and u
se of endoscopic instrumentation will serve to expedite operative proc
edures and minimize surgeon frustration. Similarly, the development of
an organized approach to operating room setup, including consideratio
n of access incision sites, will expedite endoscopic procedures. This
article includes an overview of currently available instrumentation fo
r endoscopic plastic surgical procedures. A generalized approach to op
erating room setup is described, allowing the surgeon to tailor equipm
ent and patient position to individual procedures.