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 to the patient, and prevention measures. Various treatment modalities range from topical therapies, chemical peelings, micro-needling, or microdermabrasion, subcision, autologous ⁄ non-autologous dermal fillers to energy-based technology such as fractioned ⁄ non-fractionated lasers, ablative/non-ablative 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.