Obejective <p>This study aimed to determine the effect of body perception and marital adjustment on cosmetic surgery acceptance in married women.</p> Methods <p>The cross-sectional and correlational study was conducted with 707 married women between July and November 2023. Participant Information Form, Body Perception Scale, Marital Adjustment Test, and Acceptance of Cosmetic Surgery Scale were used to collect the data.</p> Results <p>It was determined that the model created to determine the effect of body perception and marital adjustment on cosmetic surgery acceptance in married women was compatible, and the fit indices of the model were within the desired limits. It was determined that body perception and marital adjustment affected cosmetic surgery acceptance, and women with high marital adjustment and low body satisfaction had more positive attitudes toward cosmetic surgery.</p> Conclusion <p>Body perception satisfaction affects marital adjustment. Body perception and marital adjustment affect cosmetic surgery acceptance. Longitudinal studies on factors influencing cosmetic surgery acceptance are advised.</p> No Level Assigned <p>This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>