Previous studies on psychosocial aspects of tattooing have not examined prospective changes in self- and body-related attitudes as a result of obtaining a tattoo. In the present study, 82 British residents obtaining their first tattoo completed measures of state appearance anxiety and dissatisfaction prior to, and immediately after, obtaining a tattoo. They also completed measures of trait body appreciation, distinctive appearance investment, self-ascribed uniqueness, social physique anxiety, and self-esteem before obtaining a tattoo and three weeks later. Results showed that both women and men had significantly lower appearance anxiety and dissatisfaction immediately after obtaining their tattoo, and significantly higher body appreciation, distinctive appearance investment, self-ascribed uniqueness, and self-esteem after three weeks. Women reported greater social physique anxiety after three weeks, whereas men reported lower anxiety. These results are discussed in relation to the positive impacts of obtaining body art and the mainstreaming of tattooing in Western societies.