The plastic surgeon rarely encounters patients expressing factitious
disorders. Through their incredible imagination, these patients conjure
numerous lesions for themselves and willingly accept to undergo
invasive diagnostic procedures and risky therapies. We report four
cases of Munchausen′s syndrome in the field of plastic surgery
and follow with a discussion of as to when should the alarm bells start
ringing for the unsuspecting plastic surgeon, to assist him in dealing
with these too often-ignored disorders