This essay analyzes the "plastic body" as it is produced in the discourse of plastic surgery. The contemporary industry has constructed a popular image of plastic surgery as a readily available and personally empowering means to resolve body image issues, on the presumption that any body can become a "better" body. The ideology underlying the industry emerges out of analysis of the rhetoric of surgeons and patients. The rhetorical efforts of amputee "wannabes," who seek elective amputation and who use arguments similar to those of mainstream plastic surgery applicants, reveal the paradoxes and contradictions in decision-making about who has access to these procedures. The essay concludes that the concept of the plastic body is based less on medical technology and skill than on rhetorical power and suggests that this body of discourse has important implications for medical and technological advances that have enlarged the possibilities for body alteration practices.