Women in general seem to have a complicated relationship with their bodies and their body image. A small percent of the female population develop a serious pathological eating pattern which is characterized by a disturbed image of body size and shape. This disturbance has been investigated by many researchers and the quest of finding the underlying neural correlates has progressed enormously during the last decade. The relationship between disturbed eating patterns and body image distortions is highly complicated. The purpose of this review article is to give an overview of current research literature and scientific results. The aim is to find a framework for the phenomenon of body image distortions among both healthy and non-healthy women. Differences between genders and how food intake affects body image will also be addressed. The focus lies on behavioral traits and the underlying neural correlates, with focus on both the perceptual and the cognitive-affective component.