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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I commend the ARCHIVES for publishing the provocative essay on the morality of cosmetic surgery for aging.¹ Ringel posed some challenging questions; fortunately, the postal service delivered the answers in 2 widely-distributed throwaways. What shall we do about cosmetic surgery? Add more emphasis to it, suggests Krull² in his 1998 Livingood Lecture. Why should we do this? To make money, Werschler³ tells us in an article on "strategic business planning for dermatology." Those who think otherwise have "not kept pace with the evolution of public attitudes and goals."³

Will those who respond in the ARCHIVES to Ringel's article be as plainspoken as Krull and Werschler? Or will the rebuttals attempt to conceal our venal interest in the cosmetic surgical procedures Ringel describes? When we read the replies, let us use the assay for integrity that Stephen Carter,⁴ a Yale law professor, described in his book Integrity. Carter writes that . . . [Full Text of this Article]