The purpose of this brief report is to identify imagery preferences of women receiving hypnotherapy to alleviate hot flashes. As part of a larger study, 51 breast cancer survivors were asked to identify their own personal preferences for imagery for reducing hot flashes. Most of the participants identified personal imagery associated with coolness; none of the participants selected imagery for warmth or heat. The most widely used was imagery involving water associated with coolness (27.0%). It is recommended that clinicians using hypnosis for reduction of hot flashes attend to patients' preferences as specific imagery may moderate the effectiveness of hypnosis for hot flashes.