Reduction mammaplasty has become an accepted surgical procedure in North American society. The purpose of this study was to determine the method used by Canadian plastic surgeons to perform this procedure. A survey was sent out to all members of the Canadian Society of Plastic Surgeons in the spring 1993 mailing which questioned them on various aspects of their technique. Response rate was 45% and surgeons did on average 4.6 reduction mammaplasties per month which were covered by provincial health insurance in 96% of cases. The most popular method overall was an inferior pedicle technique, used by 65% of surgeons. Most surgeons altered their procedure in special clinical situations such as small or very large reductions, ptotic breasts, tubular breasts, or second procedures.