There is a growing at-risk population struggling for help from the medical and conseling professions: This population strongly desires amputation of certain healthy working body parts. Prevalence rates are increasing due to internet support groups, chat rooms and discussion boards. The challenge however is that most medical professionals refuse to perform a medical procedure, especially an amputation of a healthy viable limb. As a result, many sufferers of this disorder are engaging in attempts and completions of self amputation. Aglaja Stirn and colleagues report the relevant details in their textbook "Body Integrity Identity Disorder: Psychological, Neurobiological, Ethical and Legal Aspects".