As a nurse and the mother of two adolescents, I was disturbed by the article "Mirror, Mirror on the Wall" (AJN Reports, August). The article itself was not as disturbing as the fact that cosmetic surgery is still controversial. Adolescence is a crucial time in children's development, one that shapes the way they view themselves and the world. Perception of one's body during this developmental stage has always been a sensitive issue. If a surgical procedure can help a child cope, and the risks and benefits are thoroughly discussed with family and medical professionals, then what is so controversial?

It is ironic that the same mainstream media that shape teenagers' self-perceptions criticize those who seek to correct a flaw. Commercials feature images of perfection, but parents are expected to teach children to be satisfied with what they see in the mirror. It is very confusing for teenagers and frustrating for parents. If medical improvements can help teenagers focus on more important issues than their appearance, then age should not be the sole factor in a decision about elective surgery.

Wichita, KS