A desire for control is at the root of eating disorders, and it’s also what makes cosmetic surgery so enticing to those with a history of anorexia, bulimia, or orthorexia. Depending on where you are in your recovery, deciding to change the size of your breasts or your inner thighs can be empowering—or completely devastating.

That’s why plastic surgeons say it’s so crucial to be honest about your ED on your initial intake form and during your consultation.