Purpose <p>This study aimed to assess the effectiveness of positive thinking group training on enhancing self-esteem and body image satisfaction among women living with female genital mutilation (FGM) in Javanrood.</p> Method <p>A quasi-experimental design with pre-test and post-test control groups was employed. The study population included all women with FGM in Javanrood during the 2023–2024 period. A sample of 30 women was selected through convenience sampling and randomly assigned to experimental (<i>n</i> = 15) and control (<i>n</i> = 15) groups. The intervention consisted of 8 sessions, each lasting approximately 90&#xa0;min, conducted over a period of four weeks. Data were collected using the Coopersmith Self-Esteem Inventory and Body Image Satisfaction Scale.</p> Results <p>Multivariate analysis of covariance (ANCOVA) revealed that positive thinking training significantly improved self-esteem and body image satisfaction among women with FGM in the experimental group compared to the control group.</p> Conclusion <p>The results demonstrated that positive psychology training significantly improved self-esteem and body image satisfaction in women affected by FGM. These findings support the integration of such interventions into culturally sensitive mental health programs.</p>