That is my favorite patient, too. When someone was born with a problem or was in an accident and needs help to look normal again. Those are the gratifying stories.
I have no sympathy for the wackos that come on the show. One woman was into COS Play had white hair, purple skin, a plastic jewel glued to the center of her chest and humongous boobs. She said she wanted to get bigger boobs to be noticed. If people don't notice her yet, going bigger isn't going to do it. Perhaps fake horns on the side of her head. I think her real motive to be on the show is to get publicity, she sells herself and wanted more exposure.