Cosmetic surgery is such an easy target. And the fact is that all societies, not just America, have placed great importance on physical beauty. I work with a Philadelphia liposuction surgeon and the vast majority of women interested in body contouring aren't seeking perfection, they just have a few lumps and bumps that make them self-conscious about their appearance. We don't berate people of either sex who take the time to take care of themselves through beauty, and healthy diet, and yes, a decent beauty regimen. Of course people can take it too far (that happens with everything), but for the majority of women, cosmetic surgery is about getting back to normal, not looking like a supermodel.