Abstract Background The driving force for many seeking plastic surgery is comfort in one’s body. Along with comfort comes satisfaction, improved self-awareness, and potential change in interoceptive awareness—a term defined as the conscious perception of one’s body. While conscious perception of bodily signals is influenced by many factors, sense of self and body image play significant roles. Studies show diminished interoceptive awareness in those with negative body image, but no research has assessed the impact of change in body image on interoceptive awareness. Objectives The purpose of this study is to investigate how interoceptive awareness changes following elective breast surgery. Methods The Multidimensional Assessment of Interoceptive Awareness Version 2 (MAIA-2) was administered to women undergoing breast surgery. A baseline survey was administered preoperatively, with follow up surveys at one week, one month, and three months postoperatively. Results Data was collected from 39 women and analyzed using paired T-tests to compare MAIA-2 overall and sub-scores over time. Significance was seen at one week for subcategories of “Not Distracting” and “Trust,” at one month for “Trust,” and three months for “Not Worrying,” “Emotional Awareness,” “Self-Regulation,” and “Trust.” Overall survey averages were significantly increased at all postoperative intervals. Conclusions From this study, it can be concluded that breast surgery positively impacts interoceptive awareness. These findings are clinically relevant as they offer providers insight into the psychological effects of breast procedures. A comprehensive understanding of procedure outcomes enables providers to educate patients on both anticipated physical results and changes in sense of self.