Aims. To comment on the relation between eating disorders and requests
for cosmetic surgery in some women. Methods. We report two cases of w
omen who were accepted for cosmetic breast augmentation while sufferin
g from current anorexia and bulimia nervosa. Results. For both women,
the motivation for seeking cosmetic surgery was directly related to th
e body image distortion and dissatisfaction which were an inherent par
t of the eating disorder. Conclusion. It is our contention that women
with eating disorders require treatment to address the distortion in b
ody image, and the belief that cosmetic surgery will result in satisfa
ction with their bodies. Screening for eating disorders and body image
disturbance should be a routine part of assessment for cosmetic surge
ry.