What expectations of ones self or partneriinfluence the subjective expierence of sexual satifation?

Question

why do people choose top change their appearance through medical procedures.

Answer 1

This question is too convoluted.  Is it one or two parts?  Are you asking if feeling s**y about yourself makes your partner feel s**y about you too?  If so, sounds likely.  After all if you don't think you look good, why should anyone else.  

And the sexual energy has to start somewhere...

Answer 2

becuase they have the means to do it.