1. Preoperative psychological counseling Because cosmetic surgery is mostly surgery to change appearance, patients are often psychologically abnormal, and everyone's aesthetic outlook is different, so the expectation of cosmetic patients is much more complicated than that of ordinary patients, and the expectation is often unrealistic. There is a close correlation between preoperative expectation and postoperative satisfaction-the higher the expectation, the lower the satisfaction. Therefore, starting from reality, it is very important to enlighten and persuade patients to lower their expectations in order to improve surgical satisfaction, reduce conflicts between doctors and patients and avoid disputes. At the same time, we should also pay attention to regulating the patients' emotions and alleviating the bad emotions such as anxiety, anxiety and fear. In addition, it is necessary to fully explain the risks of surgery to patients, and avoid talking only about the hope of success and the possibility of failure. For those with obvious psychological abnormalities, psychological examination and psychotherapy should be carried out. 2. Psychological reaction process and treatment of patients with postoperative psychological consultation (1): During 1 week after operation, they often feel uneasy because they are worried about the surgical effect and do not know the temporary swelling after operation. Doctors should explain and comfort in time. After successful operation, patients often can't adapt immediately due to the change of appearance, and worry about others' curiosity, teasing and unacceptable, which often leads to emotional trance. In this case, the doctor should give the patient enough psychological support after operation. After the above two stages, the patient has a new understanding and coordination of himself and the environment, and the success of the operation has lifted the psychological barrier. At this time, patients will be pleased to achieve the satisfaction of beauty, their emotions will gradually stabilize, their self-confidence will be enhanced, and they can return to society healthily. (2) Psychological characteristics and treatment of the losers in cosmetic surgery: comfort the patients who have failed in objective surgery (those with poor surgical results or complications) in their pessimistic disappointment, relieve their confusion that they want to solve the problem again but are afraid of failure again, and establish confidence in continuing treatment. We should help patients who have failed in subjective surgery (that is, the surgery has no obvious defects, but the patients are always dissatisfied) to establish a correct aesthetic view, guide patients to correctly understand the surgery through books, pictures and examples, and treat themselves correctly with medication. 3. Prevention of medical disputes in cosmetic surgery (1) Patient selection: Patients with the following conditions should suspend or refuse surgery: ① those who feel sorry for themselves and have no urgent surgical requirements; (2) those who have strong reaction to slight deformity, demanding more and expecting more; ③ Those who have unrealistic expectations and requirements for surgery; (4) those who are eager to solve problems such as marriage and work through surgery; 5 don't want surgery, relatives and friends come for surgery; ⑥ Require surgery but relatives and friends object; ⑦ People who obviously distrust doctors or praise or flatter doctors excessively; Unwilling to cooperate with doctors, such as refusing to take pictures, being picky about the surgical plan and unclear the surgical goal; Pet-name ruby teenagers, psychological naive test with psychological abnormalities. (2) Reasonable design and accurate operation: Doctors should fully understand patients' expectations and requirements for surgery, and comprehensively analyze whether patients have the conditions to achieve good results and whether the current technology and materials can meet the needs of surgery. (3) Do a good job of data collection: do a good job of relevant records, especially the collection and preservation of image data. (4) Psychotherapy: including establishing a good doctor-patient relationship, giving psychological guidance before operation, psychological counseling after operation, seeking truth from facts before operation, and avoiding patients' high expectations. If there are problems after operation, we should comfort and enlighten them in time, so that patients can correctly understand setbacks and avoid abnormal mentality. See if I can help you.