Acne scars treatment needs knowledge, skills, and artistry. Acne scars lead to emotional embarrassment, poor self-esteem, social isolation, low confidence, body image alterations, unemployment, lowered academic performance, and exacerbation of the psychiatric disease of anxiety or depression. Acne scars treatment must consider the cost of treatment, the severity of lesions, physician goals, patient expectations, side-effect profiles, psychological or emotional effects on the patient, and prevention measures. Treatment modalities include topical therapies, chemical peelings, micro-needling or microdermabrasion, subcision, and autologous ⁄ non-autologous dermal fillers. Furthermore, energy-based technology includes fractioned ⁄ non-fractionated lasers, pigment or vascular-specific lasers, and minor surgical procedures. Whatever the choice, it should be clearly understood by both physicians and patients that, at present, improvement of scarring, rather than total cure, is the goal. Any intervention or treatment aims to improve scars, not for a total cure or perfection.