Plastic Surgery Board Certification is a good standard in which to judge a plastic surgeon. It means that the plastic surgeon has completed his residency in plastic surgery (not some unrelated specialty). Additionally, he has passed a written test, an oral examination by his peers and presented his cases to a panel of surgeons to judge if the surgeon has handled them appropriately.
There are three boards which examine plastic surgeons. Why there are three probably has more to do with politics than of any significant deviation. You can compare the three boards: All are private organizations whose members pay dues. None is a government agency.
To be considered a board certified plastic surgeon one must have completed the requirements of at least one of these boards in the United States. Dr. Pasquale is certified at the present time by the Board of Certification in Plastic Surgery. He is presently in the process of obtaining certification through the Board Of Osteopathic Surgery in Plastic Surgery so he will be certified by two boards of Plastic Surgery instead of one soon.
It does not guarantee a good outcome for your surgery. It does not even mean the doctor is competent at the present time but was when he was certified. A better judge of current competence is to check at the hospital to see if the plastic surgeon has privileges in plastic surgery. The reason for this is that the Hospital is more likely to know sooner if their is a problem with the doctors competence.
Dr. Pasquale is on staff at some of Hawaii's best Hospitals such as the Queens Medical Center. You can check here for his listing at Queens Medical Center as part of their advisory group for cosmetic and plastic surgery.