Epstein was advised to use plastic surgery to evade being 'caught' in unearthed email

A psychiatrist sent a detailed outline to Jeffrey Epstein mapping out a plan for escaping accountability – including plastic surgery – if he were ever caught.

An individual named Cynthia Reed passed along a seven-point outline, titled "What If I Get Caught?" that she told Epstein in a May 1, 2009, email had been written by Dr. Henry Jarecki in the context of a book that needed a co-author. While the book was never published, its purported chapter outline offered Epstein guidance for escaping capture or securing favorable treatment while incarcerated.

"Trouble avoidance," read the first bullet point in the outline, which then listed items of concern, including computer and telephone security, and advised "have a fall guy" and "avoid trackable expenditure."

The next bullet point offered advice for pre-trouble protections, such as setting up a safe house and making sure to have enough cash stashed away.

"Post-trouble," read the third bullet point, and Jarecki purportedly suggested to use disguises and fake identification or visit a plastic surgeon.

Jarecki advised readers in a section titled "post-arrest rules" to avoid being tracked with an ankle monitor and distrust interrogators because they'll assume he's guilty and attempt to trick him, and the psychiatrist also offered advice about trial rules and finding the right jail, according to the unearthed email

"Demography and goals of a jailer," Jarecki wrote, and then listed "special benefits": "(1) Episodic freedom (2) Conjugal rights (3) Drugs (4) Sex (5) Special food f. Religious services g. Infirmary & health h. Medical needs j. Good behaviour."

The last section advised readers such as Epstein on flight, and Jarecki suggested he familiarize himself with extradition laws in Brazil, Germany and Israel.

Epstein served 13 months of a 18-month sentence he received as part of a controversial plea agreement, and he received Jarecki's outline about two months before that sentence ended.

He was arrested again on sex trafficking charges in July 2019 but was found dead in prison about a month later of an apparent suicide.

In 2024, a former model sued Jarecki, a longtime Yale faculty member who was 91 at the time, on allegations that he enabled Epstein's sex trafficking and turned her into a "modern-day sex slave," but she voluntarily dismissed her civil lawsuit in April 2025.