Wash hands with soap and water.
Gently rub lettuce, cabbage, garlic, ginger and chives under cold running water.
Dry on paper towel, set the lettuce leaves aside.
Scrub carrots with a clean vegetable brush under running water and cut into strips.
Mince the garlic and ginger.
In a large skillet, cook the ground beef over medium heat until internal temperature reaches 160 °F on food thermometer.
Wash hands with soap and water after handling raw ground beef.
Add fresh ginger, shredded cabbage, minced garlic, sesame oil, salt and pepper to taste.
In a separate bowl, combine soy sauce, honey, red pepper flakes.
Add the sauce to the browned beef and cook on medium heat to thicken sauce until temperature reaches 165 °F on food thermometer.
Serve beef mixture in lettuce leaves and top with carrots, chives and cilantro.