You can spend your money how you like. Why shouldn’t people be allowed to make the personal choice to change their appearance with their own cash? Better that than ask others to contribute through the state. Furthermore, the appearance division the proposition seeks to suggest between rich and poor is much more dependent on quality of diet. Diet is a universal factor that affects complexion, height, etc, while cosmetic surgery is a relatively insignificant factor in statistical terms and one that only affects the particular thing on which surgery is conducted.