Background:
Evaluation of plastic surgery practice patterns provides valuable insight into the specialty’s evolution and helps align resident training with future clinical needs. In Taiwan, the introduction of the “Silent Teacher” cadaveric program has strengthened anatomical and microsurgical education. This study reviews a 10-year dataset derived from Silent Teacher program records to analyse procedural patterns and evolving trends in plastic surgery practice nationwide.

Methods:
Data from 10 consecutive years (2016–2025) of the “Silent Teacher” cadaveric training programs organized by Buddhist Tzu Chi General Hospital were retrospectively analysed. Procedures were classified into reconstructive (flap, hand, craniofacial), aesthetic (facial, breast, body contouring), anatomy, allograft, and peripheral nerve categories. Annual frequencies and regional distributions were compared to evaluate shifts in procedural focus. Descriptive statistics were used to identify temporal trends and regional variations throughout the decade.

Results:
Over the 10-year period, overall case numbers increased steadily, with notable rises in microsurgical and perforator-based reconstructions as well as aesthetic body contouring procedures. Northern Taiwan remained the highest-volume region, while central and southern regions exhibited increasing procedural diversity. Growth in cadaveric training and simulation-based courses paralleled the expansion of complex reconstructive and aesthetic surgeries, reflecting broader regional self-sufficiency and technical advancement.

Conclusions:
Ten years of national data demonstrate progressive diversification and maturation of Taiwan’s plastic surgery practice. The development of the “Silent Teacher” program has coincided with broader procedural capability and enhanced microsurgical expertise. Continued collection of statistics will help monitor evolving trends and guide resident training for future practice.