While plastic surgery and other cosmetic procedures are becoming more common in the population at large, people with BDD are more likely to seek corrective surgery. Unfortunately, satisfaction is rarely achieved and rather than help solve the problem, the surgery often creates more problems. Individuals with BDD often suffer intensely and in silence. Other people often do not understand. They say, "You look fine", yet this is never reassuring because the person with BDD "knows" they look unattractive/ugly. There is a total preoccupation with perceived flaws. The areas of concern vary greatly. Typical areas involve the skin, hair, nose, eyes, baldness, legs, breasts, genitalia, muscle size, and others.