I'm not too sure that hateful would be the appropriate word as far as how you come across on this message board. Ignorant seems to fit exactly what you have written! How much research have you done on the subject of BDD in third world countries or on BDD period? BDD has nothing whatsoever to do with vanity. Individuals suffering from BDD do in fact know deep down that being beautiful will not bring them happiness. If you do a bit of research on the disorder you'll note that none of the people suffering from BDD want to be beautiful...they just want to look at most normal and not disfigured. BDD is not a choice, eating disorders are not choices! BDD is a very complicated disorder that is just now beginning to be more and more understood. I really hope that the next time you post you'll do some research before posting.