Acne scarring is a common and expected result of moderate to severe acne vulgaris. Given the clinical variety of acne scars and the plethora of treatment options available, management of cutaneous scarring from acne can be challenging and confusing. This article discusses the pathophysiology of acne and acne scarring to better understand its biologic and structural nature. A simple, yet practical classification schema is presented, allowing caregivers to better organize their assessment of acne scarring and develop useful management strategies from this model. This article highlights the various useful laser options that are available for the treatment of acne scarring.