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I'm a bit split on the whole topic.
The cultural reasons for why people get it done are bullshit. Maintaining youth, eliminating every single perceived flaw, and so on. Making people believe that they are worthless without their good looks. It's a culture that isn't healthy for our minds or bodies.
On the other hand, some of the insults levelled at people who have had cosmetic surgery is incredibly vicious and I don't think it's fair. Much of it is misogynistic when directed at women, and homophobic when directed at men. I believe everyone is entitled to full autonomy to do as they wish with their own body, as long as noone else is harmed by it.