PRO's are essential in current medical practice to view success of an intervention from a patient's perspective. Two types of questionnaires are available- generic (e.g. SF-36) and disease specific (e.g. FACE- Q). Generic assess the disease effect on the whole person irrespective of the medical condition. Disease specific assess interventions in a particular disease. They are more sensitive to detect changes due to focused questions. The FACE-Q questionnaire is a recently designed gold standard PRO that is disease specific. The FACE-Q measures 4 domains- satisfaction with facial appearance, adverse effects (both of these highlight the effects on a specific facial area e.g. lips, eye etc), health-relate quality of life and process of care (both of these are relevant to al facial patients). It achieves this as it has over 40 scales each with a series of questions around one central concept. Patient responses are graded on a 4 point scale and then converted to a score on a scale from 0-100. A higher score means improved quality of life. There is no overall score, only scores for each independent scale. As scales are independent only the scales most relevant to a specific research objective or patient population need be administered. Patients can complete the questionnaire pre and post operatively to view the impact of the intervention. An advantage is that it only takes a few minutes to complete. The dis-advantage of the FACE-Q could be perceived that it was initially developed for aesthetic facial procedures however the questions are directly applicable for reconstructive facial procedures. Also research is still undergoing regarding the clinical meaning/clinical significance of the FACE-Q but it still allows PRO quantitative data pre and post procedure to aid evaluation