TBody image dissatisfaction and increasing interest in cosmetic procedures present significant psychosocial challenges among contemporary university students. This study examined body image satisfaction levels, areas of physical dissatisfaction, and attitudes toward plastic surgery among University of Zakho students. A descriptive survey approach collected data from 49 students (28 males, 21 females) using a validated 10-item questionnaire measuring satisfaction and attitudes. Analysis revealed hierarchical patterns of body dissatisfaction, with the nose being most dissatisfying facial feature (91.8% reported some facial dissatisfaction), followed by hair. The chest area generated highest body dissatisfaction (80% of those reporting body issues), followed by abdomen/buttocks. Students strongly perceived increased prevalence of cosmetic procedures (67.3% agreed "to a large extent") and acknowledged significant media influence (69.4%). While recognizing plastic surgery as necessary for others (particularly women), 65.3% expressed unwillingness to pursue such interventions personally, even if cost-free. Statistical analyses found no significant differences in attitudes based on gender or age variables. Findings suggest educational institutions should implement body image programs while regulatory frameworks ensure plastic surgeries address genuine needs rather than reinforcing unrealistic standards.