More than 9.2 million cosmetic procedures were performed on patients looking to rejuvenate or enhance their natural appearance through plastic surgery. Additionally, there were 5.6 million reconstructive procedures performed in 2004 that included breast reduction and reconstruction, tumor removal, cleft lip and palate repair, burn care, hand surgery, as well as a host of other procedures. As the longest established plastic surgery organization, founded in 1931, it is the only organization with more than a decade of plastic surgery statistics. ASPS offers the most reliable statistics on plastic surgery procedures to date.