This service performs approximately 2000 cases per year with a heavy outpatient clinic load involving 180 patient visits per week. The focus of the plastic surgery service is on reconstructive plastic surgery and includes treatment of maxillofacial, extremity, trunk, and specifically, hand trauma. There is a significant caseload in congenital anomalies including cleft lip and palate, and craniofacial outpatients. The service works in close association with other departments in treatment of cancers and the reconstructive procedures necessary for closure of defects created by their removal or radiation. In addition, there is a sufficient cosmetic surgery workload for treatment of various aesthetic deformities, as well as reconstruction using micro-surgery and other advanced techniques. The service is integrated with VAMC and Shriner's Hospital, and has general and plastic surgery residents assigned to those services.