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My daughter says she hates it because it means money can make you look better.
I kind of like that though - it is more democratic than "natural beauty" being the standard. If beauty is something you do or buy, maybe people think it's cheating, but how is that worse than it being luck?
Don't imagine I'll ever have enough $ to want to spend it on cosmetic surgery, but I knew a lady with bad skin tone - she had a baby and was overweight, lost the weight but her torso skin stayed stretched out, all saggy. She got a tummy tuck and boob lift and holy cow it looked amazing, she felt so good about her body and said "it cost as much as a car but I will drive my body much longer than my car.". Nobody is going to convince me that's a bad thing that she ought not have done. She wasn't disfigured before, she did it to look good and she sure did.
Every person owns their own body and should modify it however they want. I am not against even creative cosmetic surgery, you want elf ears, go for it. And I do not think ugly people are under any obligation to get modified so that they look "better" either. Whatever the individual wants, it is their call. This is one situation where I really feel it is not my business at all.