Choosing a technique of breast reduction today may be difficult for a young plastic surgeon. Will he choose a lateral technique or a technique with an inverted T? A bipedicle technique, horizontal, or vertical? With one pedicle or two pedicles? Oblique, superior, or inferior? With skin undermining or no skin undermining? Which technique is the safest and gives the best results? Some techniques are praised and others are denigrated by experienced surgeons with a reliable opinion and an authority in breast reduction. The choice of the young surgeon is in addition more difficult in the apparent difficulties of the techniques that are described. But is it the technique which is a bad or the surgeon? The author believes anyhow that the situation is simple.