The article analyzes physical and physiological problems caused by fashionable clothing in the mid-18th to early 20th cc. that shaped people’s appearances and lifestyles in the past. Affecting the skeletal system and the functioning of internal organs and brain in particular and causing various illnesses, these problems went largely unrecognized by contemporaries, including writers, but would inevitably surface in literary works as part and parcel of everyday life. Without understanding their role, one may struggle to comprehend not only plot twists and characters’ motivations but also the mentality of the bygone era as portrayed in fiction. Chronologically, the research covers the period from the mid-18th c. to World War I. The author only focuses on so-called respectable society (a very tentative term that covers members of the aristocracy and other classes with comparable lifestyles), since it was this group which drew the most attention from fiction writers of the period. The scholar chose to concentrate on the kind of daily realia of ‘noble society’ that permeate works by Russian, English, French and, to some extent, German authors, considered most prominent in Europe at the time.