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Aesthetic cosmetic surgery is a popular lifestyle choice, and attractiveness is a valued attribute in all societies. This chapter guides the reader through the minefield of cosmetic surgery and especially its role in psychosis, body dysmorphic disorder (BDD), amputee identity disorder (AID) and eating disorders. The role of a psychiatrist or psychologist is to advise the surgeon and patient on the patient's psychiatric status. Even when patients agree to stop seeking cosmetic surgery, the next goal is attitudinal change and modifying the dream of changing their appearance. This is often seen in mirror gazing and mental cosmetic surgery when patients alter their appearance in their mind. Although this is lot cheaper and less risky than real cosmetic surgery, it is a major obstacle in therapy for overcoming BDD. Amputee identity disorder (AID) is a term used to describe individuals who desire one or more digits or limbs to be amputated.
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