This evaluation focuses on a woman in her thirties who has undergone the highest number of extensive cosmetic surgeries documented worldwide. Her anatomical enhancements include augmented mammary glands (breasts), enlarged gluteal muscles (buttocks), significantly enhanced labia, and volumetric increases to her lips. Our team conducted a detailed evaluation of her extensive alterations, confirming each modification's radical nature through precise body-to-body assessments. This comprehensive review encompassed all aspects of her surgically altered anatomy, emphasizing the significant scale of her vaginal enhancement as well. Her unparalleled pursuit of body modification has earned her our Unusual People Award, marking her as the individual with the most extreme surgical enhancements worldwide.