"Bridalplasty" brings together engaged women who are seeking complete image transformations before their big day - they want the dream wedding AND the dream body to go along with it. These brides-to-be are willing to do whatever it takes to beat the competition in order to get that perfection. Throughout the show, as they put together their dream wedding, each week one lucky bride will also get one piece of her dream body - going under the knife for one of the surgeries off her "wish list." The last bride standing will have the opportunity to have an extreme plastic surgery makeover and win a wedding fit for the stars where she will unveil her shocking new look for the very first time to the man that she's about to marry.

In the first episode, 12 eager brides-to-be from across the country move into a mansion where they live together and compete to collect plastic surgery procedures and fabulous wedding prizes along the way. But before the competition heats up, they first meet with Dr. Dubrow for a private consultation to create a personalized plastic surgery "wish list" that they hope to complete before walking down the aisle - from muffin tops to crooked noses to flat chests, the perceived imperfections they hope to fix are extensive and dramatic. Each bride will leave the consultations with a clear vision of what her new body could be.