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Social expectations is gender though. What is a gender neutral plastic surgery? If you are doing a smaller nose for a woman or a larger nose for a man it isnt neutral.

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Reconstructive surgery is a subset of plastic surgery separate from cosmetic surgery.

This definition is contrasted with cosmetic surgery performed to improve aesthetics or the appearance of a body part.

Reconstructive surgery includes fixing a cleft lip. Repairing a half destroyed face after an accident. Removing extensive scarring that is causing pain because it isn’t as flexible as non-scarred skin. There are TONS of gender neutral reconstructive surgeries.

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Reconstructive surgery is performed to construct a person’s look to fit what is socially wanted, which coincidentally is a part of gender. If it is not needed to breath, it is about attractiveness, which is a social construct separated in categories of gender. Which is why gender “norms” are often considered toxic and don’t need to exist. If it is relieving pain or assisting with ones ability to breath/ eat, I would say it isn’t gender affirming.

You say there are tons of gender neutral constructive surgeries/alterations,what would they be? One might be considered to be Botox, because it is used by both genders, but where/why it is used is different based on cultural perception of gender, aka gender affirming.

Long story short, gender is a social construct, if you are doing something to fit in with a society, it will likely fall there.

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You say there are tons of gender neutral constructive surgeries/alterations,what would they be?

Maybe try reading the words I wrote or the links I provided.

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