A:  A local plastic surgeon tells his patients that one has to be specially skilled to perform plastic surgery, whereas anybody in his opinion can give hormones.  In those words alone, he shows his abject, irresponsible ignorance. A surgeon may need good hands but an endocrinologist needs a good mind.  Endocrinology is one of the most complex areas in medicine and whereas bad surgery may ruin your appearance, bad hormonology can ruin your life or even end it prematurely.