---identifier: "/us/cfr/t28/s549.51"source: "ecfr"legal_status: "authoritative_unofficial"title: "28 CFR § 549.51 - Approval procedures."title_number: 28title_name: "Judicial Administration"section_number: "549.51"section_name: "Approval procedures."chapter_name: "BUREAU OF PRISONS, DEPARTMENT OF JUSTICE"subchapter_number: "C"subchapter_name: "INSTITUTIONAL MANAGEMENT"part_number: "549"part_name: "MEDICAL SERVICES"positive_law: falsecurrency: "2026-04-05"last_updated: "2026-04-05"format_version: "1.1.0"generator: "[email protected]"authority: "5 U.S.C. 301; 10 U.S.C. 876b; 18 U.S.C. 3621, 3622, 3524, 4001, 4005, 4042, 4045, 4081, 4082 (Repealed in part as to offenses committed on or after November 1, 1987), Chapter 313, 5006-5024 (Repealed October 12, 1984 as to offenses committed after that date), 5039; 28 U.S.C. 509, 510."cfr_part: "549"---
Identifier
/us/cfr/t28/s549.51
Currency
2026-04-05
Positive Law
No
Updated
2026-04-05
Chapter
Bureau of Prisons, Department of Justice
Authority
5 U.S.C. 301; 10 U.S.C. 876b; 18 U.S.C. 3621, 3622, 3524, 4001, 4005, 4042, 4045, 4081, 4082 (Repealed in part as to offenses committed on or after November 1, 1987), Chapter 313, 5006-5024 (Repealed ... 5 U.S.C. 301; 10 U.S.C. 876b; 18 U.S.C. 3621, 3622, 3524, 4001, 4005, 4042, 4045, 4081, 4082 (Repealed in part as to offenses committed on or after November 1, 1987), Chapter 313, 5006-5024 (Repealed October 12, 1984 as to offenses committed after that date), 5039; 28 U.S.C. 509, 510.
# 549.51 Approval procedures.The Clinical Director shall consider individually any request from an inmate or a BOP medical consultant.(a) In circumstances where plastic surgery is a component of the presently medically necessary standard of treatment, the Clinical Director shall forward the surgery request to the Office of Medical Designations and Transportation for approval.(b) If the Clinical Director recommends plastic surgery for the good order and security of the institution, the request for plastic surgery authorization will be forwarded to the Warden for initial approval. The Warden will forward the request through the Regional Director to the Medical Director. The Medical Director shall have the final authority to approve or deny this type of plastic surgery request.(c) If the Clinical Director is unable to determine whether the plastic surgery qualifies as a component of presently medically necessary standard of treatment, the Clinical Director may forward the request to the Medical Director for a final determination in accordance with the provisions of paragraph (b) of this section.