Limb reconstruction is becoming a popular orthopaedic treatment for a variety of injuries/conditions. Whilst a good deal of research has been undertaken to examine the physical aspects of care there is little in the literature that enables health-care professionals to understand the psycho-social issues related to the treatment process. A review of the literature identifies that a number of issues need consideration, the main ones being: body-image, self-esteem and behaviour. A number of authors have identified that a relationship between these concepts exists and this study examines the nature of these in adult clients undergoing limb reconstruction procedures. A population of clients (n=60) undergoing limb reconstruction procedures within an inner-city teaching hospital were included in the study and assessed using the Tennessee self-concept scale [Tennessee self-concept scale Manual, Western Psychological Services, Los Angeles, 1996], the Self-esteem scale [Society and the Adolescent Self Image, Princeton University Press, Princeton, 1965] and the Body-cathexis scale [Journal of Consulting Psychology 17 (1953) 343]. Three correlational hypotheses were generated from the literature review and significant relationships between each of the variables were identified.