Body sculpting has progressed during the past decade to a point where cosmetic units may be sculpted to improve contours which blend imperceptibly and appropriately with adjacent cosmetic units. The buttocks is ideally suited for sophisticated contouring as its frame is determined by the hips, thighs, and lower back and its proportions are balanced by the anterior projection of the breasts. In addition, ethnic differences in the shape and proportions of the buttocks create a variety of aesthetically pleasing variations in size and shape. The article attempts to elucidate these considerations combined with a logical surgical approach to achieve pleasing results in body sculpting.