This study aims to highlight the impact of the principle "Harm is to be eliminated" in regulating the Sharia rulings related to contemporary cosmetic surgeries. This principle is one of the major principles in Islamic jurisprudence, based on evidence from the Quran, Sunnah, and consensus. It is characterized by its flexibility and ability to address contemporary issues and developments in light of the objectives of Islamic law. The study adopted a descriptive-analytical approach to review and analyze Sharia texts and jurisprudential principles, contributing to guiding practical applications of cosmetic surgeries in accordance with Sharia guidelines that balance benefits and prevent harm.The study covered key topics, including: the concept of the principle "Harm is to be eliminated" and its significance as a comprehensive jurisprudential foundation, the classification of cosmetic surgeries into necessary procedures addressing physical or psychological harm, needed procedures meeting a recognized necessity, and aesthetic procedures aimed at enhancing beauty without a pressing need. Additionally, it addressed the guidelines for cosmetic surgeries that distinguish between permissible and prohibited practices. The study reached significant conclusions, among which is that the principle "Harm is to be eliminated" permits removing physical and psychological harm through necessary and needed surgeries, provided clear Sharia guidelines are adhered to. It also prohibits aesthetic surgeries involving permanent alteration of God's creation without a legitimate justification. The study emphasized the importance of activating major jurisprudential principles to guide Sharia rulings and practical applications in a manner that aligns with contemporary developments and achieves the objectives of Islamic law in preserving life, wealth, intellect, and religion.