Perfect appearance and eternal youth, intelligence and creativity, strength and concentration: today's medicine seeks to meet all of these demands. Whether anti-aging, cosmetic surgery, neural enhancement, or gene doping - in addition to their classic therapeutic contract, medical services increasingly aim for the target of wish fulfillment as medicine for healthy people with no prerequisite indications of illness. After a philosophical investigation of the importance of desires and needs, Tobias Eichinger analyzes the theoretical foundations wish-fulfilling medicine. He shows how medical aid beyond therapy can lead to significant ethical problems.