The goal of this research is to identify the motivation to undergo cosmetic surgery and to engage in specific types of risky body-modification behaviors that counteract the well-being of frequent tanning bed users. Individuals who engage in indoor tanning bed use are more likely to engage in risky, yet voluntary, body modification such as plastic surgery and risky weight management behaviors. These findings are in line with the previous research that body shape and weight concerns have been associated with frequent indoor tanning, perhaps due to individuals' belief that a tanned appearance makes one’s body shape appear more attractive. Presently, tanning and plastic surgery are perceived by many as body modification behaviors. Given their apparent increase and interconnection, identification of the characteristics of people who engage in tanning and other risky body modification is important to develop the comprehensive understanding of body-tanners.