You appear to be conflating things that are rigidly immutable vs. things that are reasonably intrinsic and healthy.

It sucks that some people develop such neuroses, but it’s pretty strictly detrimental to their lives and mental health.

These surgeries are largely unnecessary, solving imagined problems. If a life coach looks at this and sees a real problem and a positive solution… I would steer clear. I would say this person has a distorted, ungrounded perspective