Body dysmorphic disorder (BDD) is a common yet severe psychiatric disorder which consists of an incessant preoccupation with an imagined or small imperfection in appearance. Once listed under anxiety disorders, the DSM V reclassified BDD under obsessive-compulsive and related disorders. This was the result of adding the criteria of repetitive behavior such as repeatedly looking at oneself in the mirror, resulting in depression, or seeking repeated reassurance from others. More common than ever, people have become obsessed with their appearance, and continually turn to plastic surgery. How can the use of elective plastic surgery exacerbate the symptoms of this disorder?