Abstract
Traditional medicine therapy is practiced locally in the Middle Eastern communities. The balance between benefit and harm might tip toward the latter if its practice continues unregulated. Herein is a case of a young man who presented to our clinic complaining of keloid scars that developed following a cupping therapy session. He underwent multiple cupping sessions, without prior consent or information regarding potential complications. Finally, we present an algorithm for cupping practitioners to follow to minimize abnormal scarring.