Of course education and understanding expected results are something plastic surgeons have been preaching to their patients for years. Not surprisingly, shortly after plastic surgery reality T.V. shows like this one, The Swan, and I Want A Famous Face, most cosmetic surgery organizations, including the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS) have issued statements urging patients to be reasonable and educated when choosing elective surgery. As the marketplace expands and advances, and with media attention and television programs that portray either incredible success or surgical disaster, it is no wonder that patient education is seen as a top priority for most cosmetic organizations.
James Wells, former president of the ASPS further emphasized this point; quoted in an April 2004 article for National Geographic as saying "These shows (The Swan and I Want A Famous Face) are in very bad taste. They really tread on the insecurities of the patient." Wells offered his early endorsement of Extreme Makeover in 2002 because practicing surgeons were given final permission to veto potential patients, and because he believes it offers a more realistic impression, following patients from consultation through the follow-up.