Cosmetic surgery is quickly approaching the top of many graduation gift lists.

NBC News covered a high school girl from North Carolina who received D-cup breast implants as graduation gift. “The Atlantic” covered a story about a high school girl in South Korea who received a double eyelid surgery for a graduation present. The surgery creates a fold above the eye and opens the eyes giving them a more round shape. People are raving that this trend is consistently increasing. The era we live in has taken the pursuit of perfection to new levels, and many are not opposed to it.

One of today’s prime is examples is the Kardashian’s newest surgically-enhanced sister, Kylie. The overnight sensation has received millions of followers on Instagram and Twitter obsessing over her new look.

A new look for a new chapter in life, why not? Depending on the situation, adding cosmetic surgery to your graduation gift list could be a good move or a bad one.

For those who are receiving cosmetic surgery who feel that it is needed physically or for emotional needs, this could be a great gift and a great confidence booster as they tackle on the world post graduation.

For women who are extremely flat chested and insecure about their size, breast implants a size or two up could really boost their confidence. There are also women who are exceptionally endowed and because of this have developed back problems. A reduction could not only boost their confidence if they are uncomfortable about their size, but they will also benefit from it health-wise.

Breast augmentation could also be a great gift for male graduating students who are physically transitioning to women. This surgery could aid with them physically taking on their true identity. There are many instances in which cosmetic surgery can be a great gift graduation gift, making a major positive impact on a graduate’s life.

A graduation gift in the form of cosmetic surgery can be good but is not always the greatest idea.

Realistically speaking, any surgery is a risk. In regards to cosmetic surgery, which is almost always an optional surgery, it is always best to proceed with caution. We are humans, and humans make mistakes. Should your surgery not go well the first time, are you willing and financially able to pay for a follow up surgery? Things like this must be taken into consideration.

The FDA states that implants do not last a lifetime. Eventually replacing them or removing them must occur, and both options come with their own set of risks. “The longer you have breast implants, the more likely it is that complications will occur and you will need to have them removed,” the U.S. Food and Drug Administration said on their website.

Then, there are the trending surgeries. What is in now might not be in five to 10 years from now. Today, big butts are all the craze, but trends come and they go. Health-wise, the less your body has to go under the knife the better, so the question is, do you want to go under the knife now just to have to possibly go back under it later?

Then there is the mental aspect. Not everyone is mentally cut out for a major life change like cosmetic surgery; some regret their surgeries. There are those who, once the surgery is complete, cannot wrap their mind around accepting their new physical identity.

Like with most major decisions in life, this is a decision that should be preceded with much consideration, caution and self reflection.