I paid 20,000 pounds to a surgeon based on the 5 start reviews I read on RealSelf. Just a few days before my procedure, I came across a thread of comments on RealSelf itself which were not posted under the surgeon's reviews but posted separately elsewhere of patients whose operations were botched by this surgeon, two of whom I contacted and met in person, who said that their negative reviews of the surgeon were deleted. I cancelled my surgery but of course did not get my money back. Realself can be a useful research too for potential patients but it is largely and mostly a PR tool for cosmetic surgeons. You will hardly find any surgeon with reviews that put a practitioner in bad enough light to deter would be patients. It is obvious that there are unhealthy links between RealSelf and cosmetic surgery practitioners whose real costs are being paid by unsuspecting vulnerable people. Sooner or later they will be caught but many people and households will be ruined till we get to this point.