Background: In recent years, an increase in the number of cosmetic procedures was seen, either surgical or non-surgical, especially in middle age women. This study aims to estimate the prevalence of cosmetic procedures among Saudi women in Riyadh city and to determine the factors that can affect the performance of these procedures. Methodology: This cross-sectional study of a convenient sample encompassed 500 women at universities and malls, in Riyadh, Saudi Arabia. The study was conducted between December 2016 and February 2017. A self-administrated questionnaire was distributed to all participants, which covered eight domains, including socio-demographic data, and surrounded social influence. Results: In total, 500 women responded to the questionnaire, and 55.4% of them had done a cosmetic procedure. Among the participants, 54.7% of participants who had no cosmetic surgery, was because they did not need it, while 17% of them said no because of financial reasons, and 9.4% because of social causes. Among those who underwent cosmetic surgery, 58.1% of participants responded that their purpose was for change and having more beautiful hands. However, 31% of them undergone cosmetic surgeries to treat the changes that had been happened to their faces and body. Conclusion: There was acceptance of cosmetic procedures, especially in single women. Self-satisfaction was the most critical factor that affected the performance of cosmetic procedures, while the social reason was the least. Further studies should be done with a larger sample and in other cities.