Liposuction surgery is one of the commonest cosmetic procedures performed here in the Philippines as well as in the USA. Though seemingly easy to do, there are a lot of safety parameters that need to be observed from the preoperative, intraoperative and postoperative stages. A complete medical history of the patient ( present and past) covering the family history for assessment of risks including laboratory tests and cardio pulmonary clearance should be accomplished prior to the procedure. These details will help in planning the operation to be done as well as decrease if not eliminate complications that may affect the desired result. The patient’s full cooperation, the alertness and skill of the liposuction surgeon and the vigilant monitoring of the anesthesiologist compose the safety triangle that will make liposuction a safe and effective procedure.