For the most part... I hate these shows. I enjoy most reality TV, but this goes a little too far. I've only watched Extreme Makeover a couple times, and the people I saw seemed to be much happier with themselves when they were through. However. If you aren't happy with yourself, maybe you should work on that before you go running to get thousands of dollars worth of plastic surgery.
On the opposite end of the spectrum, the new MTV show "I Want A Famous Face" disgusts me to no end. For those unaware, these are early twentysomethings getting radical plastic surgery to look like someone famous. I only saw one girl on the shows that I watched that didn't radically change who she was - she just had a tummy tuck to remove excess skin after losing some 150 pounds. But all the rest... it amazes me.

My $.02.

__________________
I see your fantasy... you want to make it a reality

Are you in the mood to be subdued

You see these shackles
Baby I’m your slave
I’ll let you whip me if I misbehave

Tie me to the bedpost

I like it rough
cause I'd rather feel pain than nothing at all