As far as holiday gifts go, cosmetic surgery definitely falls in the “extraordinary” give_me_giftscategory. But it’s not that uncommon.

We know some women who would much prefer a breast augmentation or mommy-makeover to the usual electronics and clothes that get exchanged each year.

“There are a large number of people who really want cosmetic surgery, and they just need that little nudge or incentive to get it done” says Dr. Mark Berman, President-Elect of the AACS.

However, Berman also offers some crucial advice for those of you considering this type of extraordinary gift: Make sure you’ve discussed the idea with the recipient so it doesn’t come as a total surprise.

A consumer survey conducted by the American Academy of Cosmetic Surgery revealed that nearly 50 percent of consumers would forego an expensive vacation or even a luxury car to pay for cosmetic surgery.

I’d say those are pretty good odds that your gift will be a satisfying one.