“If an educated adult patient requests this surgery from a surgeon who is trained to perform it, I think it is unethical to deny her this right. . . . It is cosmetic surgery that is not medically indicated and has a small but measureable risk, and if the patient is aware of all this and wants to proceed, she should be allowed to do that. Cosmetic gynecology respects the patient’s autonomy; procedures do no more harm than any other elective surgery with minimal risk, and they potentially do some good from the patient’s point of view.”