Objectives: In our department OB/ GYN in Suhl we performed between until 1999 more than 500 reduction mammaplasties. Since 1994 we used a special technique as an own modification of the original Stroembeck-method. The purpose of this study was to compare our method of reduction mammaplasty with the international widespread method of McKissock. Study Methods: Between 1997 and 1998 we performed 151 mammaplastic procedures. All cases where checked retrospectively for resection volume, blood loss, duration of the operation, surgical complications, aesthetic deviations of the different techniques and for satisfaction of the patients by questionnaire. Results: During the two years we performed 128 surgical procedures with the technique of superomedial pedicle and 23 with the McKissock method. In summary, the described surgical technique of superomedial pedicle as our modification of the Strömbeck method is more improved concerning blood loss (0,8 vs. 1,4 mmol/l), duration of the operation (88min. vs. 125min.), satisfaction of the patient (84% very good and good vs. 59%), and maintained sensibility of the areola-nipple-complex (82% vs. 53%). A new technique for prevention of inverted nipple is described. Conclusions: The superomedial pedicle technique is a safe, suitable, simple, speedy and booldless technique for nearly all cases of reduction mammaplasty. By a correct and well-proved indication our method of superomedial pedicle has a very low complication rate.