Cosmetic surgery, also known as plastic surgery, was a medical procedure to change the physical appearance of a person.

In 2155, Charles "Trip" Tucker underwent cosmetic and genetic surgery to appear as a Romulan. (ENT novel: The Good That Men Do)

In 2266, James T. Kirk had Dr. Dwayne Stiller make his face temporarily look like a Dridian so he could investigate the criminal charges against him. (TOS comic: "The Trial of Captain Kirk")

In 2270, James, a duplicate of Kirk, was surgically altered to pass for Romulan. (TOS novel: The Price of the Phoenix)

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