Peter F. Svider, MD, and colleagues retrospectively analyze malpractice litigation related to laser procedures in the head and neck. The authors reviewed legal databases and determined that most cases (82%) included female plaintiffs, and of 34 cases, 19 (56%) were resolved with a defendant verdict. The median compensation was $150 000, and dermatologists, otolaryngologists, and plastic surgeons were the most commonly named defendants. Seventy-four percent of the cases involved cutaneous procedures, and the most common procedures were performed for age-related changes, acne scarring, hair removal, and vascular lesions. The most common allegations noted included permanent injury (71%), disfigurement/scarring (68%), inadequate informed consent (50%), unnecessary/inappropriate procedure (44%), and burns (32%). Physicians and patients should undergo comprehensive discussions regarding informed consent, expectations, and contingencies should adverse events occur.