Previous research has indicated an increasing trend toward elective cosmetic surgery to achieve a perceived ideal body image and meet psychological and social needs. However, there remains a gap in the literature regarding the number of procedures performed on a single patient, and the potential that patients may suffer from body dysmorphic disorder (BDD). Therefore, the purpose of this quantitative study was to examine the relationship between the number of cosmetic surgeries undergone, level of body dissatisfaction, level of dysmorphic concern, and preoccupation with appearance. Participants included 75 females and 55 males, ranging in age from 18 to 64 years. The majority of participants identified as Caucasian and resided in the United States. Most participants reported having two or three cosmetic surgeries. A multiple regression analysis was run to predict whether dysmorphic concern, body image concern, and/or BDD symptomology predict the number of cosmetic procedures undergone. The first significant finding was that body dissatisfaction, level of dysmorphic concern, and likelihood of BDD predict the number of cosmetic surgeries an individual chooses to undergo. The second significant finding was that the level of body image satisfaction-dissatisfaction as measured by the Body Image Ideal Questionnaire does predict the number of cosmetic procedures undergone. The results from this study provide support for the prerequisite of a psychological screening for cosmetic surgery and thus may contribute to positive social change for the cosmetic surgery community and its patients. Successful implementation of such a screening tool would contribute to social change, particularly for those candidates with diagnosed or undiagnosed mental health concerns.