Introduction: Aesthetics is a value for the current Iranian society, leading to a competition to become more beautiful. According to global studies, Iran has the highest rate of cosmetic surgery in the world.

Aim: The present study aims to investigate and determine the factors related to the tendency to have rhinoplasty in candidates visiting educational and medical centers in Rasht.

Materials and Methods: The present study is a cross-sectional study in which 230 samples for rhinoplasty were selected based on the gradual visits to be accepted as candidates. Data collection tools include demographic and researcher-made questionnaires to assess the factors related to rhinoplasty. After determining the factors related to the rhinoplasty, Cronbach's alpha and gamma coefficients were used to determine the internal stability of the factors and questions. ICC (Intraclass Correlation Coefficient) and Spearman’s correlation coefficient were used for the factors’ reliability. SPSS-23 was used for data analysis, and the significance level of the tests was P<0.05.

Results: The majority (69.6%) of the studied subjects were married and of the average age of 29.61 ± 8.707, and half of the studied subjects (50%) were married. Also, 37% of the studied subjects were housewives, and 47.8% had a high school diploma. The majority (76.5%) of the studied subjects reported their family income to be sufficient. According to the factor loadings in the study, five factors of competitive attitude, social anxiety, openness, unique surgical conditions, and low self-esteem were identified. The internal stability of the factors and questions was also confirmed using Cronbach’s alpha and gamma coefficient. Competitive attitude had the highest correlation with the tendency to have a rhinoplasty.

Conclusion: Because of the direct statistical correlation between various individual and psychological factors and the tendency to have rhinoplasty, it is essential to pay serious attention to this phenomenon and plan appropriately for education, counseling, and treatment for people to reduce this dilemma.

Keywords: Cosmetic surgery, rhinoplasty