A patient's approach to cosmetic surgery is a very delicate moment. In fact, this field of surgery involves operations that, in most cases, do not have an urgent character but are instead the result of a calmly thought-out and meditated choice. This is why in this sector, perhaps more than in others, the role of the surgeon and his staff is important, implying not only surgical skills but also a marked sensitivity and psychological approach to the patient.

Cosmetic surgery can be requested for the most diverse reasons. It is therefore essential to understand what the patient wants to achieve through the operation and sometimes even to reduce expectations. It happens to everyone to meet patients with unrealisable desires or goals that are at odds with their body. Sometimes the psychological motivations that lead a patient to request cosmetic surgery are much more complex than they appear on the surface. It therefore also becomes the surgeon's task to understand how to act and when to act.

One can turn to a cosmetic surgeon when a physical defect prevents a physiologically correct life, but also for purely aesthetic reasons (too big a nose, too small or sagging breasts). In most cases, there is a positive change in the patient after cosmetic surgery, both in professional relationships and in work productivity. The correction of a defect therefore goes beyond a simple 'external' correction, acting in depth on personality, self-esteem, self-confidence, and thus resulting in a greater willingness to interact with others. Thus, the benefit that a patient derives from cosmetic surgery does not stop at physical appearance alone, but also extends to the psychological aspect of his or her life. Feeling more beautiful REALLY corresponds to greater happiness and serenity.

The cosmetic surgeon, unlike other surgeons, is often in a very delicate position of mediation precisely because of these psychological implications. He or she must intervene to help the patient improve his or her appearance, but also assess the actual need for such an intervention. In any case it will therefore be necessary for the doctor to carefully evaluate the factors prompting the request, in order to avoid interventions that instead of improving the subject's well-being, increase the degree of dissatisfaction, in a person who, more or less consciously, is already in a situation of emotional difficulty.