just my 2 cents, but i think ethics is a combination of the patient,the surgery,and the dr. I’ve seen some news stories here (in texas) about people who are addicted to surgery. Some dr’s will operate on them for the $$, some will turn them away.
from my own experience,the surgery should enhance ones life moreso than their self esteem. I had a thoracic sympathectomy for excessive sweat. My dr did not warn me of severe side effects outside heart problems (which “didnt matter because i am not an athlete”) and Horners syndrome (which the dr’s say has"never happened with their expertise")
these statements have been repeated by other dr’s to their patients in the forum I belong to.
that was 2002. by 2004 I was applying for social security disability because of the damage done during/by this OP. my brachial plexus injury (which my dr said NEVER happened because he was skilled) happened because my arms were positioned the wrong angle during surgery. the thyroid is denerved by this surgery. many of us have gained a lot of weight. Im now on thyroid pills. Im miserable.
and the clencher*…we are told “if you do not like the outcome, you can have a reversal” (which costs upwards of 65,000$) so the dr’s get paid twice. Also, in an attempt to market the sympathectomy…we are not told there are other options for excessive sweat. (iontophoresis, prescription pills and anti-persperants)
for me, the sweat-issue was one of annoyance more than shame. I’m female, sew a lot of my own clothes…and was sick of always having paper towels taped to my armpits.
some in my forum are in radio/tv/production and therefore cannot touch equipment with sweaty palms.
maybe a police officer has sweaty feet and cant run after a criminal without slipping inside his shoes.
now, our problems are horribly worse than before. thoracic sympathectmies have been banned in Sweden and partially in Taiwan (no minor may have the OP)
surgery has been used in past to treat social phobias (so its a mini psycho-surgery) we were not informed of that either.
bottom line (imo) all humans have potential to be evil. we’ve seen stories on cops who sell drugs, and priests/teachers who molest children, the same should apply to dr’s.
(BTW–i applaud AHoosierMama’s post on the oath. I didnt know that either! I thought oath was same all over the US.)
anyone who is interested can read more here-
http://p069.ezboard.com/betsandreversals
thanks for reading my post 
alexandra