The factor structure and psychometric properties of the Italian version of the Acceptance of Cosmetic Surgery Scale

• The Italian version of the Acceptance of Cosmetic Surgery Scale was validated.
• A three-factor solution (Intrapersonal-Social-Consider) best fit the data.
• Cronbach's alphas for the three subscales were uniformly high.
• The scale showed good convergent and discriminant validity.

The current study examined the validity of the Italian version of the Acceptance of Cosmetic Surgery Scale (ACSS; Henderson-King & Henderson-King, 2005) in a sample of 378 Italian adult women. A series of confirmatory factor analyses were conducted. A three-factor solution provided the best fit to the data and confirmed the Intrapersonal, Social, and Consider dimensions. The three factors were strongly inter-correlated. Cronbach's alphas were high (all alphas > .86). The scale showed good convergent and discriminant validity (estimated by Composite Reliability and the Average Variance Extracted). The nomological validity of the Italian version of the ACSS was confirmed by its significant correlations with participants’ body dissatisfaction and sociocultural influences (internalization of thin ideals and perceived media pressure). The ACSS seems to be a useful measure of acceptance of cosmetic surgery in the Italian context. This instrument can be used with Italian speakers for research, health promotion, and preventive interventions.