9874, thank you for your thoughtful reply. You make a really good point about attracting a guy based solely on looks...not something I want.

But what if your looks deter men from trying to get to know you? Certainly attraction plays a role initially, then a person gets to know you and like you for who you are. But if they are not at all attracted to me, they won't even consider getting to know me will they?

It's only natural for people to want to be attracted to their significant other, so I just think perhaps surgery would improve my appearance enough to get me in the door, so to speak.

I'm also very open to therapy, and I'm definitely considering trying it again. It's hard finding a therapist I'm comfortable with, but it's worth a try.