Body dysmorphic disorder (BDD) is a psychiatric condition defined in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Text Revision (DSM-5-TR) as a preoccupation with a perceived defect or flaw in one’s physical appearance when, in fact, they appear normal. Often underrecognized, BDD is a prevalent psychiatric condition characterized by an all-consuming focus on perceived physical imperfections, leading to distressing repetitive actions and, at times, suicidal behavior and ideation. Individuals with BDD often seek unnecessary surgical interventions.  The DSM has recategorized BDD since its introduction in 1980. Initially described as an atypical somatoform disorder and then a distinct somatoform disorder in 1987, BDD now falls in the DSM-5-TR under the spectrum of obsessive-compulsive and related disorders. Patients affected by BDD have a preoccupation with a perceived defect or flaw in their physical appearance that is either not noticeable or only slightly observable by others. Symptoms cause marked impairment in social, academic, occupational, or other areas of functioning. To meet diagnostic criteria, patients must engage in repetitive behaviors, such as excessive mirror checking, camouflaging (ie, covering up the defect with makeup or clothing), skin picking, excessive grooming, excessive weight lifting, or pervasive mental acts such as comparing one’s appearance to others. These behaviors are time-consuming, difficult to control, and distressing to the individual. Body dysmorphic disorder is underrecognized, and affected patients visit dermatology and plastic surgery clinics to repair their perceived defects. Understanding BDD's features and diagnostic criteria across all healthcare specialties helps increase awareness and recognition of the condition.  In 1891, Enrico Morselli, an Italian psychiatrist, coined the term dysmorphophobia, derived from the Greek word dysmorfia, meaning ugliness, to describe people who perceive themselves as flawed but have no apparent physical deformities. Pierre Janet, a French psychologist, discussed cases of this condition and labeled it "l'obsession de la honte du corps," which translates to "obsessions of shame of the body." Sigmund Freud also detailed a case known as "Wolf Man," a man obsessed with his nose, which caused him significant social distress.