Life in Plastic, It’s Fantastic
by Em.
A little while ago, my esteemed colleague and beloved frienemy westwood wrote this little post about cosmetic surgery. Now, westwood, being the intelligent person she is, raised a number of interesting points; however, these points were all, in the parlance of experts, completely wrong.
Technically, westwood’s argument isn’t anti-cosmetic surgery (although I know her thoughts on the subject—and they’re not happy thoughts of rainbows and unicorns). To recap: westwood argues that the decision to undergo cosmetic surgery should not be evaluated based on the decider’s intentions; rather, we should look at the consequences of said decision. So, I’m not sure that I ought to go piece by piece and destroy westwood’s argument, even though I really want to. Instead, I’ll to explain how a primary hidden premise of westwood‘s argument is, simply put, false.
Specifically, before even engaging in a debate about which moral theory to apply to the question of cosmetic surgery, I would demand that my interlocutor prove that cosmetic surgery falls into the category of moral decisions at all. Generally speaking, unless you’re operating under ideas of personal fulfillment and well-being—which I’m not, since I prefer my liberty to be of the negative variety—moral decisions are those which involve our interaction with other beings (including our environment). But what about decisions that involve (or should involve) only us?
First, I realize that we don’t live in isolation: every decision we make has some sort of social ramification; however, the inherent relationality of human existence does not mean that every decision I make will be moral, strictly speaking (although a lot of them will be). So, ask yourselves: is cosmetic surgery something that we ought to debate in the realm of morality (like whether or not we can sacrifice the few to save the many) or is it something that we ought to leave to the discretion of the individual (like whether or not lunch should be eaten before or after an afternoon stroll)?
In order to answer such a question, I think we need to look at what cosmetic surgery essentially is (and for the record, by cosmetic surgery, I am referring to elective—and not corrective—appearance altering surgeries but I am excluding such procedures as penectomies, mastectomies, etc. which are undertaken in the process of sexual transitioning). Cosmetic surgery is, at it’s core, body modification. That’s all. Other types of body modification include: dying one’s hair, shaving, waxing, laser hair removal, plucking, piercings, tattoos, all surgeries involved in sexual transitioning, tanning, skin lightening, etc. etc.
Should we evaluate all of these things as moral decisions? If so,it seems that we must conclude that the plucker of eyebrows with pierced ears and dyed hair (i.e., me) has potentially engaged in some immoral body modifications. One might argue that plucking eyebrows and dying hair are minor and impermanent modifications and are, therefore, exempt from possibilities of condemnation; however, so are boob jobs (just look at Posh Spice—no seriously, she’s fabulous, look at her). So, maybe then, cosmetic surgeries as a whole should not be the subject of moral debate but only certain surgeries, namely those which are irreversible (or at least really difficult to reverse).
But why? What is it about irreversibility that means we can suddenly look at body modification under the harsh light of moral evaluation? And what about transsexuals? They must sometimes undergo irreversible procedures in order to live the life they wish to live. Should we question the morality of their decision? I think not. The line drawn between those body modifications which remain individual decisions and those which are subject to moral debate is entirely arbitrary. There is nothing, really, that separates one type of body modification from the next except for the stigma attached by societal evaluations. Here, I’m going to lay the burden of proof with the claimant: if you want to argue that something about permanence (or indeed any other principle you can imagine) makes particular types of body modification apt for moral discussion, than it is up to you to explain what that something is and how exactly it serves to make cosmetic surgery an ethical topic. Good luck.
Alternatively, a person may choose to bite the bullet and avoid charges of arbitrariness by arguing, instead, that all bodily modifications (not done for health purposes) are subject to moral debate. But why? Presumably, each person (or each adult anyways) owns their own body. And if I am not harming anyone, why should my choices about my body be subject to ethical scrutiny? So, here again I am forced to put the burden of proof with the claimant because I simply can’t see a reason why something so personal and individual ought to be up for moral discussion.
Well, I can see one argument which would place body modification squarely in the sights of the moral debater: a utilitarian approach to charity. I have in mind something like The Singer Solution to World Poverty, in which Peter Singer argues, from the utilitarian perspective (of course) that morality demands that, “…whatever money you’re spending on luxuries, not necessities, should be given away”. Now, body modification might fall into the category of luxuries and, therefore, morality demands that we forgo our hair dying and bikini waxing so that we can give that money to those lacking necessities. But this argument does not apply only to body modification; rather, it applies to everything on which we spend money: food, clothing, housing, entertainment, gadgets, etc.
Now, there are many flaws to such an extreme utilitarian analysis which would make it easy to ignore. But I’m willing to concede one thing: body modification is subject to moral debate insofar as everything else which involves money is subject to moral debate. Money talks. And we should always think about what we, as consumers, are saying. But, this concession amounts, simply, to saying that we ought to think about things before we do them. Fair enough. But does this mean that body modification is a subject of moral debate? As far as I can tell, it means only that body modification is, like everything else, something which should be thought about.
Now that I’ve put you through all that, what am I saying? Well, in a world where women (and sometimes men) continue to struggle for the right to own and control their own bodies, putting up for discussion the morality of body modification just seems cruel. I believe in relationality, and I would never wish to underestimate the social connectedness with which humans are faced. But, I also believe that the individual is the primary unit of political significance and if we wish to respect human rights, we must respect individual human rights, lest we step on some people in the name of some greater good. Respecting the individual in most cases requires that we leave them a realm in which they can be free from the evaluations we impose on the public, social realm. There are some choices which we need to evaluate as moral. But so far as I can see, there is no reason why cosmetic surgery ought to be considered one of those choices.
Filed under: medical ethics | 8 Comments
Tags: body image, body integrity identity disorder, cosmetic surgery, ethics, feminism, freedom, liberty, medical ethics, moral theory, morality, peter singer, plastic surgery, politics, transsexuality, utilitarianism

The Nicomachean Ethics begins with the premise that all humans act. They all act for some aim. If this aim is known it would be considered good. So all act for some good.
What follows is of course the question of how to act to obtain the ever allusive ‘good’.
If you consider this as the beginning of Aristotle’s major ethical (moral) work then how to act is the subject matter of moral philosophy. I don’t see why actions that only effect yourself (though none of these exist as you mentioned) should be excluded from the query.
So anyone can do anything they wish to their body. Well what ought they to wish to do? If you take the issue off the table it is impossible to argue for your gender modifications. Yes, impossible to argue against it too however this only adds more fuel to the fire of ignorance. It is just as easy to say that its your body do what you want with it as it is to say that it’s your body thus property of God so you should get a WWJD bracelet and sop dressing in woman’s clothing.
Yes, human beings have to act; however, as I said, I’m not so much interested in these ideas of personal fulfillment, etc (as was our friend Aristotle) and hence, I have very little interest in what a person’s ‘good’ might be (so long as one person’s good isn’t harming another person, of course). And I believe the first question we ask when dealing with teleology is what is the good. There are ways in which we can answer that question which still leave untouched the issue of body modification.
My point is not to say that we cannot discuss and evaluate people’s actions but do you think that nothing should be free from being considered more or less moral? Aren’t there some things of which we can say: this is a person’s private issue and not for (public) morality to discuss? Of course, there are some moral theories (like Aristotle’s virtue ethics) which might very well say no. But prove to me the veracity of these theories. Tell me why we should consider cosmetic surgery to be a moral matter.
It is not just as easy to tell someone to do something with their body (stop wearing dresses, as you say) as it is to say that they can do what they want. The former asserts that there is a good (to use your chosen terms here) or a way that we should be while the latter proclaims ignorance. To say ‘do what you want’ is, in my opinion, much akin to saying ‘I don’t know what is right or wrong, so use your own judgment’. This type of negative freedom, I think you’ll find, does not make it impossible to argue for the right for any kind of gender modification; rather, it guarantees that right.
Cheers.
I think you mean “foist” not “hoist”.
I don’t really think hoist or foist are the words I was looking for. I have changed instances of ‘hoist’. (I’m not even sure why I would use a word like ‘hoist’)
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the real question is the motivation. everyone would be much happier accepting who they naturally are then trying to reach this view of perfection in their own minds. we all grow old, it happens. so, continue getting surgery to keep up with your age, or be miserable that you cant keep up with the body you want. or you can just grow up and accept who you are, realize your strengths, and realize no one cares how good you look more than yourself and get over it. im not against your rights for cosmetic surgery, you just have to be a pretty miserable person to think thats whats going to make you happy.
exactly…do what you want, yes…but anyone close to me id try to convince…its just placing more pressure on people to look good…which really means nothing…are you going to be proud of yourself that you paid money for this? its just the most selfish thing you could possibly do…elective cosmetic surgery atleast
Cosmetic surgery is often carried out to change a person’s appearance in order to achieve what they perceive to be a more desirable look.However, in certain situations cosmetic surgery may be needed for functional reasons. For example, breast reduction is sometimes used to alleviate back or neck pain.;
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