 The Surge is mostly cosmetic, but also involves major surgery being performed on the nervous, immune, and neurological systems.The point of The Surge itself is to promote and inspire peace among its recipients, with the idea that beauty ultimately trumps all forms of inequality and bigotry - Things like race and orientation don't matter when everyone is beautiful.The Surge is performed at the age of sixteen on every citizen in the world (although some cities perform it at age 18, and is hinted to be performed at 15 in some) and is strictly regulated by The International Committee For Morphological Standards ("The Pretty Committee"), which converges yearly to exchange notes on things such as innovations, anaesthesia techniques, and standard levels of attraction worldwide (because of the cities attitude towards codependence, these meetings are mostly just to make sure every city is making their recipients the same kind of pretty, and to not have any one city have more attractive post-ops).