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Renowned plastic surgeon and US Navy veteran Dr. Patrick Lappert discusses ethics of cosmetic surgery and gender affirming care with the Paradox Institute's Cynthia Breheny. Listen on Spotify here: https://open.spotify.com/episode/5EHA... Chapters: 00:15:53 - Are there elective cosmetic procedures comparable to gender affirming care procedures? 00:33:44 - What makes a surgery unethical? 00:48:47 - What restrictions are there for extreme procedures? 00:54:07 - Not turning down procedures 01:04:09 - Have you ever questioned your practice? 01:07:40 - Every part of your body explains itself 01:11:06 - Who can define ethics? 01:17:10 - Transgender identity is a psychological issue 01:23:22 - Do you have relatives that object to what you do? 01:26:31 - If a patient ever wanted to reverse a surgery, would you feel responsible? 01:37:50 - Who is liable when a patient sues for malpractice? 01:46:00 - What does "do no harm" mean to you? 01:51:45 - How do you ensure a correct diagnosis? 01:55:43 - Relationship between history and diagnosis 01:59:36 - Follow-up protocols 02:03:33 - What are the ethical parameters for removal of healthy body parts? 02:07:42 - What have you learned from past patients who were not happy with their results?