Techniques for improving the appearance of the gluteal region are essential elements in body contouring. In all cultures and communities, this physique aspect holds a special place among the elements comprising the ideals of physical beauty. Recent studies described the aesthetics of the gluteal region in terms of shape, volume, and projection. However, Prof Moawad noticed ten years ago that the accumulation of fat at the supragluteal, lower paralumbar, infragluteal, and trochanteric areas often disturbs the natural shape of the buttocks. He decided to enhance the gluteal region by liposculpture of areas around the buttocks and when needed, lipo-injection to give volume and projection. There is a growing interest in aesthetic surgery of the buttocks and posterior body contouring with severe weight loss. Weight loss often produces flat buttock deformities, which push the need for buttock lift surgery. Like breast surgery, buttocks surgery can be performed with several different techniques, all of which aim to make an aesthetically pleasing shape in or out of clothing. There is no single buttocks-lifting technique capable of solving all aesthetic problems. Choosing the correct procedure, combining techniques, or even adding an implant or fat, is common. The treatment or combination of approaches that are right for each patient is discovered through consultation that focuses on understanding a patient’s goals and unique anatomy. It is essential to realize that the buttock reshaping surgery must address the whole back, flanks, hip, and thigh as one unit. It is fundamental to understand the differences between female and male buttocks.