A podiatrist or orthopedist would shudder at the thought of performing surgery on perfectly good feet just to shorten someone's "ugly" toes. But a person trained in cosmetic surgery may argue that their client's self-esteem is suffering due to their deformed foot, or some Frankenstein-like scars left by a previous surgeon. This doctor knows that the customers are not always right- but they're the ones paying the bills.
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