diff --git a/code/modules/mob/living/carbon/human/human.dm b/code/modules/mob/living/carbon/human/human.dm
index 6393a8333bb..a3bcf7a626c 100644
--- a/code/modules/mob/living/carbon/human/human.dm
+++ b/code/modules/mob/living/carbon/human/human.dm
@@ -542,6 +542,41 @@
 	if(istype(id))
 		return id
 
+//Gets ID card object from hands only
+/mob/living/carbon/human/proc/get_id_from_hands()
+	var/obj/item/card/id/ID
+	var/obj/item/pda/PDA
+	var/obj/item/storage/wallet/W
+	var/active_hand = get_active_hand()
+	var/inactive_hand = get_inactive_hand()
+	
+	//ID
+	if(istype(active_hand, /obj/item/card/id) || istype(inactive_hand, /obj/item/card/id))
+		if(istype(active_hand, ID))
+			ID = active_hand
+		else
+			ID = inactive_hand
+	
+	//PDA
+	else if(istype(active_hand, /obj/item/pda) || istype(inactive_hand, /obj/item/pda))
+		if(istype(active_hand, PDA))
+			PDA = active_hand
+		else
+			PDA = inactive_hand
+		if(PDA.id)
+			ID = PDA.id
+
+	//Wallet
+	else if(istype(active_hand, /obj/item/storage/wallet) || istype(inactive_hand, /obj/item/storage/wallet))
+		if(istype(active_hand, W))
+			W = active_hand
+		else
+			W = inactive_hand
+		if(W.front_id)
+			ID = W.front_id
+
+	return ID
+
 /mob/living/carbon/human/update_sight()
 	if(!client)
 		return
diff --git a/code/modules/surgery/plastic_surgery.dm b/code/modules/surgery/plastic_surgery.dm
index ed93f95c3c9..d3a47157ffb 100644
--- a/code/modules/surgery/plastic_surgery.dm
+++ b/code/modules/surgery/plastic_surgery.dm
@@ -30,12 +30,46 @@
 		user.visible_message("[user] successfully restores [target]'s appearance!", "<span class='notice'>You successfully restore [target]'s appearance.</span>")
 	else
 		var/list/names = list()
+		var/list_size = 10
+		var/obj/item/card/id/ID
+
+		//IDs in hand
+		if(istype(user, /mob/living/carbon/human)) //Only 'humans' can hold ID cards
+			var/mob/living/carbon/human/H = user
+			ID = H.get_id_from_hands()
+			if(ID)
+				names += ID.registered_name
+				list_size-- //To stop list bloat
+
+		//IDs on body
+		var/list/ID_list = list()
+		for(var/obj/item/I in range(0, target)) //Get ID cards
+			if(istype(I, /obj/item/card/id))
+				ID_list += I
+			else if(istype(I, /obj/item/pda))
+				var/obj/item/pda/PDA = I
+				if(PDA.id)
+					ID_list += PDA.id
+			else if(istype(I, /obj/item/storage/wallet))
+				var/obj/item/storage/wallet/W = I
+				if(W.front_id)
+					ID_list += W.front_id
+
+		for(var/I in ID_list) //Add card names to 'names'
+			var/obj/item/card/id/Card = I
+			ID = Card.registered_name
+			if(ID != target.real_name)
+				names += ID
+				list_size--
+
 		if(!isabductor(user))
-			for(var/i in 1 to 10)
+			for(var/i in 1 to list_size)
 				names += random_name(target.gender, species_names)
-		else
-			for(var/_i in 1 to 9)
-				names += "Subject [target.gender == MALE ? "i" : "o"]-[pick("a", "b", "c", "d", "e")]-[rand(10000, 99999)]"
+
+		else //Abductors get to pick fancy names
+			list_size-- //One less cause they get a normal name too
+			for(var/i in 1 to list_size)
+				names += "Subject [target.gender == MALE ? "I" : "O"]-[pick("A", "B", "C", "D", "E")]-[rand(10000, 99999)]"
 			names += random_name(target.gender, species_names) //give one normal name in case they want to do regular plastic surgery
 		var/chosen_name = input(user, "Choose a new name to assign.", "Plastic Surgery") as null|anything in names
 		if(!chosen_name)