In his exploration of the striking parallels between the development of
cosmetic surgery and the field of psychiatry, Gilman entertains an array
of philosophical and psychological questions that underlie the more
practical decisions routinely made by doctors and potential patients
considering these types of surgery. While surveying and incorporating
the relevant theories of Sigmund Freud, Alfred Adler, Karl Menninger,
Paul Schilder, contemporary feminist critics, and others, Gilman
considers the highly unstable nature of cultural notions of health,
happiness, and beauty. He reveals how ideas of race and gender
structured early understandings of aesthetic surgery, discussing both
the "abnormality" of the Jewish nose and the historical requirement that
healthy and virtuous females look "normal" thereby enabling them to
achieve invisibility. Reflecting on historically widespread prejudices,
Gilman describes the persections, harassment, attacks, and even murders
that continue to result from bodily difference, and he encourages
readers to question the cultural assumptions that underlie the
increasing acceptability of this surgical form of psychotherapy.