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OBJECTIVES This study used coarsened exact matching to assess the ability of the LACE+ index to predict adverse outcomes after plastic surgery. STUDY DESIGN Two-year retrospective study (2016-2018). METHODS LACE+ scores were retrospectively calculated for all patients undergoing plastic surgery at a multicenter health system (N = 5744). Coarsened exact matching was performed to sort patient data before analysis. Outcomes including unplanned hospital readmission, emergency department visits, and reoperation were compared for patients in dif