Weissler E, et al. - Nine hundred twenty-eight surgeries were analyzed, of which 782 were involved in order to assess wound complications after plastic surgeon closure of the primary spinal surgery in a large patient population. Thirty-day readmissions and wound complications were intensely scrutinized quality metrics that could result in decreased reimbursements and other penalties for hospitals. These adverse outcomes were reduced by plastic surgeon closure of index spinal cases. Additional research must be conducted to ascertain whether the elevated cost of plastic surgeon involvement in these cases is compensated by the savings shown by fewer readmissions and complications.