Aaaarg, I just read all of this thread (had only read the first few posts before I added my opinion above) and fear I may have stirred up a hornet's nest. To clarify:
I'm talking about procedures that are purely cosmetic, which take place to alter aesthetics and aesthetics only. I am also only talking about genital cosmetic surgery. Not sure how I feel about it elsewhere on the body. I would also never condemn anyone who felt they needed such a procedure - I just think the idea that anyone could think it was necessary to put themselves through that in a quest for physical perfection is terribly terribly sad.