More than 40 R18 films were cut to fit in with the guidelines, the report says, most of which were for scenes of violence.
Complete rejection by the BBFC is now extremely rare.
No cinema films were refused a certificate and only one video was rejected when the distributor declined to make the cuts which the board advised.
The BBFC often suggests cuts to allow a film to get a lower rating, which was the case for most of the 14 cinema films which were cut.
Just one 18-rated film, Baise-Moi, was cut and that was for scenes of sexual violence.
The annual report shows that the number of films, videos and DVDs submitted has more than doubled in four years.
Complaints included one disappointed customer, annoyed that the video Bram Stoker's Legend Of The Mummy 2 failed to live up to the promise of "erotic content" suggested on the sleeve.
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