Pediatric plastic surgery is a very rewarding and challenging field. Many of our patients are managed longitudinally, often into adulthood, and deal with complex surgical problems. The role of an experienced nurse in outpatient plastic surgery is critical to managing these complex patients. The role of the pediatric plastic surgery nurse also includes coordination of care and detailed knowledge of patients and families to help direct the formation of individualized treatment plans. This role, though challenging, also allows nurses to form strong bonds with their patients and families and serve as a source of advocacy, support, and information.