It should change my outward appearance because of the sheer volume of, well, guts that will go, but that is not the reason for it. I've told at least 3 doctors I was ready to take a knife to myself - no matter the outcome, I'd be done with all. So perhaps this will count as cosmetic because I'm letting trained surgeons do the job instead of doing it myself with a dull hatchet or my Leatherman.