Millions of individuals undergo cosmetic surgery every year [1]. However, little is known about the extent to which, or the ways in which, personality traits or self-presentational styles influence cosmetic surgery. Therefore, we welcome Clodius’ commentary and encourage further dialogue on the role of personality processes in cosmetic surgery. We have contributed to this dialogue by asserting that perfectionism is a personality trait likely to influence the entire cosmetic surgery process, from interest in, to satisfaction with, cosmetic surgery