D'Oria F, Alio JL, Rodriguez AE, et al. - A prospective, interventional, consecutive, multicenter, series of cases of cosmetic keratopigmentation (KTP) was involved in the study to evaluate the medium- and long-term outcomes of KTP as a surgical alternative to change the cosmetic appearance of healthy eyes. Using a femtosecond laser-assisted intrastromal or superficial technique, 40 consecutive patients underwent KTPs with mineral micronized pigments. Participants in the study were 40 patients (79 eyes), mean age was 34 ± 11 years; femtosecond laser-assisted intrastromal keratopigmentation was conducted in 39 patients (97.5%) and superficial automated keratopigmentation in 1 patient. Good cosmetic outcomes are obtained by cosmetic KTP and are associated with high patient satisfaction. Most of the complications could be properly managed. It may offer a safe and effective new surgical alternative for those patients who are motivated to change the apparent color of their eyes.