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The field of plastic surgery has developed rapidly in the last couple of decades in Hong Kong and Shanghai, China. Both cities have their own educational system for training plastic surgeons. Their training programs differ in many ways, including the surgical exposure of undergraduate studies, the structure, curriculum, and operative requirements of residency training. In general, Hong Kong has a single pathway of residency training with more early clinical exposure in an undergraduate study. On the contrary, Shanghai has multiple pathways of residency training that are heavily emphasized in academic research. Both Hong Kong and Shanghai should complement each other to modify their plastic surgery training programs that will eventually benefit the field of plastic surgery education.