She encouraged her daughter to Brielle to fix her lips last year.
"You only go around this planet once,” the reality star explained at the launch of her skincare line.” If it makes her happy, so be it.”
But what about Zolciak herself?
The Real Housewives of Atlanta star has filled up her Instagram page with selfies of her body for several months now, all while denying that she's has any work done to enhance said body.
She is all natural, Zolciak has said, often using the hashtag #BornWithIt.
But Kim is now singing a different tune.
"I had a boob job and I've had a hernia fixed," Zolciak told E! News this week, surprising pretty much no one at all.
She then went on to explain the timing and reason for the procedure:
"I had a pretty big hernia from the twins, so I said just do a tummy tuck, which is kinda the same thing, just make the skin really tight.
"But that doesn't change my size. I'm the same size I was the day I walked into surgery, I'm just a little bit tighter looking."
That's fine. No one has ever accused Kim of getting liposuction or anything.
"My mom's very small... I'm tall, I'm 5-8, I do have height on me," she added.
"My mom is 5-4. But my mom's been a size 2 her whole life. I've been a size 27 jean my whole life. I definitely think genetics play a role, and I don't eat tons at a meal.
"I love dessert, not gonna lie, definitely have dessert every night.
"Just a little brownie, not a big sundae. I think eating in moderation is key for people. I think the portion sizes that are out there today are just insane."
We think the amount of time famous women spend talking about their weight is just insane.
We know it's a societal issue, but it's also a chicken-and-egg issue.
Perhaps if celebrities were less obsessed with their figures, the general public would realize it's okay to be curvy and to weigh over 115 pounds.
Zolciak says “there’s no reason to lie” that she had a boob job because she had “great” breasts until her daughter came along.
Then she breastfed Brielle. And then...
"They just shriveled up to B raisins. They were horrible. So I [had to] fix them."
"I will always nip and tuck if I feel the need to do so, but I'm open about it. I don't care. You only go around one time, and I especially understand that. And life is very short."