Types of Plastic Surgery Procedures in Canada
Across Canada, plastic surgery includes several major types of procedures that can refine, rebuild, or support the face and body. Cosmetic procedures are usually chosen to enhance appearance. Reconstructive procedures are used to help restore form or function after concerns such as injury, cancer, birth differences, burns, or medical conditions.
Canadians may look into plastic surgery for many reasons. Some people are looking for a more rested look. Body changes from pregnancy, weight loss, or aging may lead some people to consider surgery. For some patients, the need is related to trauma, skin cancer, breast cancer, or a congenital concern. Choosing the right procedure depends on anatomy, goals, health, lifestyle, and recovery needs.
This guide explains the main types of plastic surgery procedures in Canada, including facial surgery, breast surgery, body contouring, reconstructive surgery, and non-surgical cosmetic treatments. You will also learn what to think about before scheduling a consultation.
The Difference Between Cosmetic and Reconstructive Plastic Surgery
Most plastic surgery procedures fall into two broad groups, cosmetic surgery and reconstructive surgery.
Cosmetic Plastic Surgery in Canada
Cosmetic surgery is used to improve or refine appearance. These procedures are usually elective, meaning they are chosen by the patient and are not medically required.
Patients often choose cosmetic surgery to help with:
- Improving facial balance
- Helping the face or body look more refreshed
- Changing body proportions
- Replacing volume lost after weight change or pregnancy
- Refining the nose, eyelids, ears, lips, breasts, abdomen, arms, or thighs
- Improving the way clothing fits
- Improving self-confidence while keeping results natural-looking
Most cosmetic surgery procedures in Canada are private-pay services. Pricing may change based on procedure complexity, surgeon experience, facility costs, anesthesia, follow-up care, and location.
Reconstructive Plastic Surgery in Canada
The goal of reconstructive plastic surgery is to help restore normal form and function. Reconstructive procedures may be recommended after cancer surgery, trauma, burns, infections, birth differences, or medical conditions.
Examples of reconstructive plastic surgery include:
- Breast reconstruction after removal of breast tissue
- Skin cancer reconstruction following tumour removal
- Cleft lip and palate reconstruction
- Reconstruction after burns
- Reconstructive hand surgery
- Scar repair or revision
- Wound repair
- Facial injury reconstruction
- Repair of congenital differences
Some reconstructive procedures may be covered by a provincial health plan when they are medically necessary. Purely cosmetic changes are usually paid for privately.
Plastic Surgery Procedures for the Face
Many facial plastic surgery procedures focus on balance, aging changes, and a refreshed appearance. In many cases, the goal is not a dramatic change. The most pleasing results are often natural-looking and balanced.
Facelift Procedure (Rhytidectomy)
A facelift, also called rhytidectomy, improves sagging in the lower face and jawline. Patients may choose facelift surgery for jowls, loose facial skin, and deeper folds near the mouth.
A facelift may address:
- Jowls along the jawline
- Loose skin in the lower face
- Deep smile lines
- Drooping cheek tissue
- Less clear separation between the face and neck
Modern facelift surgery often treats deeper support layers below the skin. By supporting deeper tissues, the result may look smoother, more natural, and longer-lasting. Depending on the patient, a facelift may be planned with a neck lift, eyelid surgery, brow lift, or facial fat grafting.
Neck Lift Surgery, Also Called Platysmaplasty
A neck lift is used to improve neck skin laxity, muscle bands, and under-chin fullness. The clinical term for tightening the neck muscle is platysmaplasty.
Common reasons for neck lift surgery include:
- Visible neck bands
- Sagging neck skin
- Soft jawline definition
- A heavy area under the chin
- A loose “turkey neck” appearance
For some people, both the skin and neck muscle need tightening. Some patients may only need liposuction under the chin. A facelift and neck lift are often planned together because the face and neck commonly age as a unit.
Blepharoplasty, or Eyelid Surgery
Eyelid surgery, also known as blepharoplasty, improves tired-looking eyes by removing or adjusting extra skin, fat, or tissue around the eyelids.
Common upper eyelid concerns include:
- Upper lids that feel heavy
- Excess eyelid skin
- A more tired or older eye appearance
- Extra skin that sits against the eyelashes
- Functional vision concerns in some patients
Lower eyelid surgery may help with:
- Under-eye bags
- Puffiness
- Loose lower eyelid skin
- Shadowing under the eyes
- Tired-looking eyes that do not improve with rest
Blepharoplasty is common because even subtle changes around the eyes can make the face look more rested.
Brow Lift Surgery (Forehead Lift)
Brow lift surgery, or a forehead lift, is used to raise a low or heavy brow. It may improve the upper eye area and reduce forehead heaviness.
A brow lift may help with:
- Eyebrows that sit too low
- Heavy upper eyelids caused by brow descent
- Forehead lines
- Frown lines between the brows
- An expression that looks tired, sad, or stern
Brow lift surgery and eyelid surgery are not the same procedure. A brow lift focuses on eyebrow position, while eyelid surgery focuses on extra eyelid skin. Some patients need only a brow lift or eyelid surgery, while others benefit from both procedures.
Nose Surgery (Rhinoplasty)
Rhinoplasty is nose surgery that can change nasal shape, size, or structure. The procedure can address cosmetic goals, functional concerns, or both.
Nose surgery can address concerns such as:
- A bump along the bridge of the nose
- Tip droop
- A wide nasal tip
- Nasal crookedness
- Nose size or projection
- Asymmetry in the nose
- Airflow issues caused by nasal structure
When breathing is part of the concern, the procedure may include work on the septum, which is the wall between the nostrils. Surgery on the septum is called septoplasty. Cosmetic rhinoplasty changes appearance, while functional nasal surgery focuses on airflow.
Otoplasty, Also Called Ear Surgery
Otoplasty, commonly called ear surgery, can change the shape, position, or size of the ears. Otoplasty is often chosen for ears that stick out.
Otoplasty may help with:
- Protruding ears
- Uneven ear shape or position
- Overdeveloped ear cartilage folds
- Ears that project away from the head
- Concerns with the earlobes
Both adults and children may choose or need otoplasty. For children, the timing depends on ear growth, maturity, and family goals.
Surgical Lip Lift
The space between the upper lip and the nose can be shortened with a lip lift. That space is often described as the upper lip length. This surgery may reveal more of the upper lip without using filler.
A lip lift may address:
- Upper lip length that looks long
- Upper teeth that show less when smiling
- An upper lip that looks thin
- Lip proportions that feel unbalanced
- Aging changes around the mouth
Lip lift surgery differs from lip filler. Filler adds volume. A lip lift changes upper lip position and shape.
Facial Implants for Balance
Balance in the chin, cheeks, or jawline may be improved with facial implants. When the chin appears small in relation to the nose or other features, chin surgery may help.
Facial implant options may include:
- Chin implants
- Cheek implant surgery
- Surgical jawline implants
In some cases, chin surgery is combined with rhinoplasty because the nose and chin both affect facial balance in profile view.
Facial Volume Restoration With Fat Grafting
Facial fat transfer restores volume using a patient’s own fat. Fat is usually removed from areas such as the abdomen or thighs, processed, and placed into the face.
Facial fat grafting may help with:
- Cheek hollowing
- Hollowing under the eyes
- Facial volume loss from aging
- Soft tissue volume loss
- Facial imbalance
Facial fat grafting can be performed by itself or with procedures such as facelift surgery, eyelid surgery, or other facial surgery.
Types of Breast Plastic Surgery
Breast surgery is among the most common areas of cosmetic and reconstructive plastic surgery in Canada. Breast plastic surgery can address volume, size, position, symmetry, and reconstruction after cancer surgery.
Breast Implants and Fat Transfer Augmentation
Breast augmentation improves breast size and shape using implants or fat transfer. Implants used for breast augmentation may be saline or silicone gel. Body type, breast tissue, personal goals, and surgeon guidance all help determine implant choice.
Common breast augmentation goals include:
- Breasts that are naturally small
- Pregnancy-related breast volume loss
- Weight-related breast volume loss
- Asymmetry between the breasts
- More fullness in bras or clothing
Some patients feel nervous about results that may look too large or unnatural. A careful surgical plan should consider chest width, skin quality, lifestyle, and long-term maintenance.
Breast Lift Procedure
A breast lift, also known as mastopexy, raises and reshapes breasts that have dropped. A lift changes position and shape rather than mainly adding volume. A breast lift is designed to improve where the breasts sit and how they are shaped.
A breast lift may address:
- Lower breast position
- Nipples that sit low or point down
- Enlarged or stretched areolas
- Breast skin laxity
- Post-pregnancy, breastfeeding, or weight-loss breast changes
Some patients choose a breast lift with implants for more upper breast fullness. For a natural result without added implant volume, some patients choose a breast lift alone.
Breast Reduction Surgery
Breast reduction surgery makes the breasts smaller and lighter by removing extra breast tissue, fat, and skin.
Common breast reduction concerns include:
- Pain in the neck
- Heavy shoulder pressure
- Back strain
- Bra strap grooves
- Irritated skin under the breasts
- Exercise discomfort
- Trouble finding clothing that fits
In certain Canadian cases, breast reduction may qualify as medically necessary. Coverage depends on provincial requirements, symptoms, and medical assessment.
Breast Implant Revision Procedure
Surgery to adjust or replace existing breast implants is called breast implant revision. It may be done for cosmetic reasons or medical concerns.
Patients may consider revision for:
- A desire to change implant size
- Implant rupture
- Capsular contracture, which is firm scar tissue around an implant
- An implant that has moved out of position
- Breast asymmetry
- Changes from aging after breast augmentation
- Choosing to remove implants
Some patients choose implant removal with a lift. New implants may be chosen with a changed size, shape, or position.
Reconstructive Breast Surgery
Breast reconstruction surgery helps rebuild the breast after mastectomy or lumpectomy. Implants, natural tissue, or a mix of both may be used for breast reconstruction.
Breast reconstruction may use:
- Implant-based reconstruction
- Tissue flap reconstruction
- Reconstruction of the nipple and areola
- Fat grafting for contour improvement
- Revision surgery for symmetry
Choosing reconstruction is deeply personal. Many patients want breast reconstruction. Other people prefer to remain flat. Either choice can be valid.
Gynecomastia Surgery for Male Breast Reduction
Enlarged male breast tissue may be treated with gynecomastia surgery. It may involve liposuction, gland removal, or both.
Patients may consider gynecomastia surgery for:
- Nipple puffiness
- Extra tissue under the areola
- A fuller male chest
- Uneven male chest shape
- Discomfort being shirtless, exercising, or wearing fitted shirts
The right technique depends on whether the fullness comes from fat, gland tissue, loose skin, or a combination.
Body Plastic Surgery Procedures
Body contouring surgery improves shape by removing extra skin, reducing stubborn fat, or tightening tissue. Body contouring is common after changes from pregnancy, aging, or major weight loss.
Tummy Tuck Procedure
A tummy tuck, also known as abdominoplasty, removes extra abdominal skin and tightens the abdominal wall. It can also repair separated abdominal muscles, which are known as diastasis recti.
Tummy tuck surgery can help improve:
- Loose abdominal skin
- A lower belly overhang
- Stretch-marked skin below the belly button
- Separated abdominal muscles
- Changes after pregnancy or weight loss
Tummy tuck surgery is not a general weight-loss procedure. It is usually best for patients near a stable weight who want to improve abdominal shape.
Surgical Liposuction
Liposuction surgery uses a thin tube called a cannula to remove localized fat. It is used for body contouring rather than general weight loss.
Patients may consider liposuction for:
- Abdominal area
- Flank areas
- Hip contours
- Thigh contours
- Arm fullness
- Back contour areas
- Chin-neck contour
- The chest
- Knees
Good skin tone is important. Liposuction alone may not be enough when the skin is loose. A skin-tightening or skin removal procedure may be needed in that situation.
Mommy Makeover
A mommy makeover is a custom plan that treats body changes after pregnancy, breastfeeding, or weight change. Breast and abdominal procedures are often combined in a mommy makeover.
Common mommy makeover procedures include:
- A tummy tuck procedure
- Surgical breast lifting
- Breast augmentation
- Breast reduction
- Body contouring with liposuction
- Fat transfer
The term can be misleading, since a mommy makeover is not only for mothers. The procedure can apply to anyone with similar body concerns. A safe plan depends on the patient’s health, goals, recovery time, and plans for future pregnancy.
Upper Arm Lift Procedure
An arm lift or brachioplasty improves upper arm shape by removing loose skin.
Arm lift surgery can help improve:
- Hanging skin under the arms
- Weight-loss-related arm skin looseness
- Upper arm changes from aging
- Trouble feeling comfortable in sleeveless shirts
- Skin rubbing and irritation
Arm lift surgery leaves a scar along the inner or back part of the arm. For many patients, the improved shape is worth the scar, but this should be discussed carefully.
Thigh Lift Procedure
A thigh lift is used to remove loose skin and improve thigh shape. Thigh lift surgery is common after significant weight loss.
Thigh lift surgery can help improve:
- Extra inner thigh skin
- Chafing from loose thigh skin
- Poor clothing fit around the thighs
- Heaviness in the thighs from loose skin
- Changes after bariatric surgery or weight loss
There are several thigh lift patterns. The best thigh lift pattern depends on skin amount and the location of the looseness.
Lower Body Lift
A body lift removes loose skin around the lower body. A body lift can address the abdomen, hips, outer thighs, buttocks, and lower back.
Body lift surgery may be helpful after:
- A major weight change
- Bariatric weight-loss surgery
- Pregnancy-related skin looseness
- Aging changes with loose skin
Body lift surgery is more extensive, so recovery is usually longer. The best candidates are usually in good health and at a stable weight.
Body Fat Grafting
With fat grafting, fat is removed from one area and placed in another. It can be used to add natural volume or improve contour.
Patients may consider fat grafting for:
- Breast volume
- The buttocks
- The hips
- Facial soft tissue
- Surface irregularities after surgery or injury
Fat grafting uses your own tissue, but some transferred fat may not survive. The result can shift over time, and some patients may need more than one session.
Procedures for Skin, Scars, and Surface Concerns
Beyond face, breast, and body surgery, plastic surgery may include skin, scar, and soft tissue procedures.
Surgical Scar Revision
Scar revision improves the look or feel of a scar. It may not erase the scar, but it can make it less raised, tight, wide, or noticeable.
Scar revision may address:
- Scarring after surgery
- Trauma scars
- Scars from burns
- Thickened scars
- Tight scars
- Scars that restrict motion
A scar revision plan may use surgery, copyright injections, laser treatment, silicone therapy, or a mix of options.
Skin Lesion, Mole, and Cyst Removal
Plastic surgery may be chosen for benign skin lesions, cysts, moles, and lumps when the closure should be as careful as possible. Some lesions need medical assessment to rule out skin cancer.
Patients may seek removal for:
- A lesion that gets irritated
- A growing lesion
- Bleeding or crusting
- A cosmetic concern
- Diagnosis
- Relief from discomfort
If a mole changes or a skin lesion looks suspicious, it should be assessed by a qualified medical professional.
Skin Cancer Repair and Reconstruction
After skin cancer removal, reconstruction may be needed to close the wound and restore appearance. Reconstruction is especially common on visible or delicate areas such as the face, nose, eyelids, ears, lips, scalp, and hands.
Skin cancer reconstruction may involve:
- Direct surgical closure
- A skin graft
- Local tissue flaps
- Complex reconstruction
The goal is safe cancer removal while preserving function and appearance as much as possible.
Common Non-Surgical Cosmetic Options
Not every patient requires surgery. For some patients, non-surgical treatments help soften early aging signs, facial lines, volume loss, and skin concerns. Most non-surgical treatments have less downtime, but the results do not last as long as surgery.
BOTOX and Neuromodulators
Selected facial muscles can be relaxed with BOTOX and other neuromodulators. Neuromodulators are commonly chosen for lines caused by facial movement.
BOTOX and neuromodulators may treat:
- Glabellar frown lines
- Forehead lines
- Crow’s feet
- Nose bunny lines
- Chin texture from muscle movement
- Neck bands in some cases
Results are temporary and usually need repeat treatments. Most patients want a softer, rested look rather than a frozen face.
Injectable Dermal Fillers
Dermal filler treatments are used to restore or add soft tissue volume. They are often made with hyaluronic acid, a gel-like substance used to shape and support soft tissue.
Fillers may treat:
- Lip enhancement
- Midface fullness
- Chin shape
- Jawline definition
- Tear trough hollowing
- Smile line folds
- Mouth-corner lines
Product choice, technique, anatomy, and goals all affect filler results. Too much filler can look unnatural, which makes conservative planning important.
Skin Peels
A chemical peel uses a controlled chemical solution to improve the outer layers of skin.
Common chemical peel concerns include:
- Skin tone irregularity
- Skin dullness
- Fine surface lines
- Skin changes from sun exposure
- Mild post-acne marks
- Skin texture concerns
The strength of a peel may be light, medium, or deeper depending on the goal. Recovery depends on peel type.
Energy-Based Aesthetic Skin Treatments
Skin tone, redness, texture, hair growth, scars, and aging changes may be treated with laser and energy-based treatments.
Laser and energy-based options may include:
- Resurfacing laser treatment
- Intense pulsed light (IPL)
- Radiofrequency energy treatments
- Skin tightening procedures
- Laser-based hair reduction
- Vascular lasers for visible redness
These treatments should be matched to skin type, skin tone, and the concern being treated. Patients with darker skin tones need careful treatment planning because pigment changes can be a concern.
Dermabrasion and Microdermabrasion
Outer skin layers can be removed with dermabrasion, a deeper resurfacing procedure. Microdermabrasion treats the surface more gently and is not as deep.
Common concerns include:
- Texture
- Minor acne scarring
- Tired-looking skin
- Uneven skin feel
- Mild lines
The right choice depends on skin quality, goals, downtime, and risk tolerance.
How to Choose the Right Plastic Surgery Procedure
The right procedure should be chosen based on the concern, not just the procedure name. Many patients ask for one treatment and later learn that another option better matches their anatomy.
Common examples include:
- A heavy upper eyelid look may come from extra eyelid skin, brow descent, or both.
- Jawline softness may be related to skin laxity, neck bands, fat, or chin position.
- A full abdomen can be caused by fat, loose skin, muscle separation, or internal weight.
- A flat breast shape may be treated with a breast lift, breast augmentation, fat grafting, or a combined plan.
- Fat pads, hollowing, skin laxity, or pigmentation may contribute to under-eye bags.
A strong treatment plan should answer three questions:
- What anatomy is causing the issue?
- Which treatment is most likely to correct the cause?
- What must be accepted with that option?
Those trade-offs may include scars, downtime, swelling, cost, maintenance, and possible complications.
Common Patient Concerns Before Plastic Surgery
Before plastic surgery, many patients feel both excited and nervous. Excitement is common, but so are nerves. Patients often have questions about safety, discomfort, scarring, healing, cost, and whether results will look natural.
“Will Plastic Surgery Change My Face Too Much?”
This concern comes up often. Most people want to look like a refreshed version of themselves, not like someone else. Natural-looking plastic surgery should respect facial features, body frame, age, and personal style.
The goal is usually to improve balance, not chase perfection.
“What Is the Recovery Like?”
Recovery depends on the procedure. Non-surgical options often involve minimal downtime. Larger surgeries, such as tummy tuck, body lift, or mommy makeover, require more planning.
Plastic surgery recovery often involves:
- Post-surgery swelling and bruising
- Temporary activity restrictions
- Planned time away from work
- Appointments after surgery
- Scar healing support
- A gradual return to exercise
- Gradual settling before final results are seen
Healing takes time. Many procedures improve over weeks and months.
“Will I Have Scars?”
Any procedure with an incision creates a scar. The goal is not scar-free surgery, but careful scar placement and good healing.
Scar healing depends on:
- How your body naturally scars
- Pigment response in the skin
- Which procedure is done
- Scar location
- Tension along the incision
- Smoking and vaping status
- Sun protection during healing
- Aftercare
A scar often becomes less noticeable over time, but it will not vanish completely.
“Is Plastic Surgery Safe?”
No surgery is completely risk-free. Patients should understand possible risks such as bleeding, infection, poor scarring, anesthesia issues, asymmetry, delayed healing, numbness, fluid buildup, and dissatisfaction.
Safety depends on many factors, including:
- Your overall health
- Your current medications
- Nicotine or smoking use
- The type of procedure
- The facility where surgery is done
- The anesthesia plan
- The surgeon’s skill, training, and experience
- Follow-up after surgery
Benefits, risks, alternatives, and realistic expectations should all be discussed during a consultation.
Plastic Surgery in Canada
In Canada, plastic surgery is regulated through medical licensing, provincial colleges, hospitals, surgical facilities, and professional standards. Understanding medical credentials is important because marketing terms can be confusing.
Plastic Surgeon Credentials in Canada
When researching plastic surgery in Canada, look for proper training and credentials. The surgeon should have medical training, surgical training, and certification in the specialty of plastic surgery.
Important consultation questions include:
- Do you have certification in plastic surgery?
- Are you licensed by the provincial medical college?
- How often do you perform this procedure?
- What facility will be used for the procedure?
- Who will provide the anesthesia?
- What risks apply to my specific case?
- Who do I contact if I have a complication?
- How many follow-up visits are included?
- Can I review examples of similar cases?
This is not about being difficult. It is about protecting your health and making an informed decision.
Cost of Cosmetic Surgery in Canada
Cosmetic surgery costs in Canada can vary widely. Pricing may depend on procedure complexity, surgeon experience, anesthesia, facility fees, implants or devices, garments, follow-up care, and location.
Fees personalized plastic surgery may be higher in major Canadian cities such as Vancouver, Toronto, Calgary, Edmonton, Ottawa, and Montreal due to overhead and demand. Smaller cities may have different fees, but cost should not be the only factor.
A very low price may be a warning sign if safety, training, facility standards, or aftercare are being reduced.
Medical Tourism vs. Surgery in Canada
Some patients in Canada consider medical tourism to save money on surgery. Although this may sound appealing, extra risks should be considered.
Possible concerns with surgery abroad include:
- Less access to follow-up care
- Long travel after surgery
- Infection-related complications
- Different health care standards
- Harder access to records
- Complications that are harder to manage back in Canada
- Language barriers
- Unexpected revision costs
When surgery is done closer to home, follow-up may be easier if concerns or complications occur.
Preparing for a Plastic Surgery Consultation
A consultation gives you the chance to learn what is possible, safe, and realistic. It should not feel rushed or pressured.
Before a consultation, consider preparing in these ways:
- Prepare a short list of your main concerns.
- Bring a list of your medications and supplements.
- Tell the surgeon about your medical history.
- Be honest about smoking, vaping, cannabis, and nicotine use.
- Bring photos if they help show your goals.
- Make sure you ask about recovery time, scars, risks, and alternatives.
- Find out what result is realistic for your anatomy.
A good consultation should include a clear discussion of options. Sometimes the best advice is to wait, choose a smaller treatment, improve health first, or avoid surgery altogether.
Good Candidates for Plastic Surgery
The best candidates for plastic surgery are often healthy, informed, and realistic. A good candidate understands that surgery may improve appearance, but it cannot create perfection or fix every life problem.
You may be a suitable candidate if:
- You are medically well enough for surgery
- You know what concern you want to address
- Your weight is stable for body surgery
- You can avoid smoking and nicotine before and after surgery
- You know what to expect during recovery
- You understand and accept the trade-offs
- You are not doing it because of pressure from another person
- Your expectations are realistic
It may be better to delay surgery if pregnancy, major weight loss plans, nicotine use, unstable health, or outside pressure are present.
Planning More Than One Plastic Surgery Procedure
Some procedures may be combined safely. Some procedures are safer when staged. Doing more than one procedure at once may shorten total recovery, but it can increase surgery length and healing stress.
Plastic surgery procedures that are often combined include:
- Facelift with neck lift
- Upper facial rejuvenation with eyelid surgery and brow lift
- Nose surgery with chin surgery
- Breast lift plus volume enhancement
- Tummy tuck and liposuction
- Combined mommy makeover procedures
- Post-weight-loss contouring with body lift and limb contouring
- Combining facial rejuvenation and fat grafting
The right approach depends on the patient’s health, how long the procedure takes, anesthesia, recovery support, and overall risk.
A Final Word on Canadian Plastic Surgery Procedures
Plastic surgery in Canada includes many cosmetic and reconstructive procedures. Certain procedures are used to improve the face, breasts, or body. Other procedures focus on repair after cancer, injury, burns, or medical conditions. Non-surgical treatments may also help with wrinkles, volume loss, skin texture, and early aging changes.
The right procedure is not always the most popular option. The best plan is based on anatomy, goals, health, and personal comfort.
Every plastic surgery plan should put safety, natural-looking results, clear expectations, and proper follow-up care first. Before choosing eyelid surgery, rhinoplasty, breast augmentation, tummy tuck, liposuction, facelift surgery, or reconstructive plastic surgery, it helps to understand what each option can and cannot do.