title: Influences on decision-making for undergoing plastic surgery: a mental models and quantitative assessment.
abstract: BACKGROUND
  Research was conducted to gain insight into potential clients' decisions to undergo plastic surgery, their perception of benefits and risks, their judgment of outcomes, and their selection of a plastic surgeon.
  
  
  METHODS
  Semistructured, open-ended interviews were conducted with 60 people who expressed interest in plastic surgery. Qualitative analysis revealed their "mental models" regarding influences on their decision to undergo plastic surgery and their choice of a surgeon. Interview results were used to design a Web-based survey in which 644 individuals considering plastic surgery responded.
  
  
  RESULTS
  The desire for change was the most direct motivator to undergo plastic surgery. Improvements to physical well-being were related to emotional and social benefits. When prompted about risks, participants mentioned physical, emotional, and social risks. Surgeon selection was a critical influence on decisions to undergo plastic surgery. Participants gave considerable weight to personal consultation and believed that finding the "right" plastic surgeon would minimize potential risks. Findings from the Web-based survey were similar to the mental models interviews in terms of benefit ratings but differed in risk ratings and surgeon selection criteria.
  
  
  CONCLUSIONS
  The mental models interviews revealed that interview participants were thoughtful about their decision to undergo plastic surgery and focused on finding the right plastic surgeon.
authors.affiliation: University of Guelph, Guelph, Ontario, Canada. tdarisi@decisionpartners.com
authors.forename: Tanya
authors.initials: T
authors.lastname: Darisi
authors.forename: Sarah
authors.initials: S
authors.lastname: Thorne
authors.forename: Carolyn
authors.initials: C
authors.lastname: Iacobelli
mesh_terms: D000293:Adolescent; D000328:Adult; D003657:Decision Making; D004644:Emotions; D005260:Female; D006801:Humans; D007600:Judgment; D008297:Male; D008875:Middle Aged; D009042:Motivation; D036301:Qualitative Research; D019651:Plastic Surgery Procedures / Q000523:psychology; D018570:Risk Assessment; D011795:Surveys and Questionnaires