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From the trout pout and duck lips to butt lifts gone wrong and cleft palates, cosmetic and reconstructive surgery are tight markets. And, it's not that easy to carve out (pun intended) a defined market position.  When one considers the nature of their work, it can occasionally come out less than perfect.  It is estimated that less than 1% of all procedures have difficulties; 25,000 last year.  Butt let's face it, nothing is perfect and when things go sideways with a person's physical body, it's extremely noticeable, and makes the news quickly. 

So, cosmetic and reconstructive surgeons don't have it as easy as the television shows and public perspective might reflect. 

1 Failing to Employ a Structured Decision Process
Decisions made without a structured, systematic process may be less than optimal.

Business school courses, academic textbooks, and training programs concerning decision making provide structured approaches, decision models, and tips to make better decisions. The classic approach involves defining the problem, identifying alternatives, undertaking quantitative analyses and qualitative assessments, exploring the risks, and then choosing the best course of action. While a structured decision making process is central to management, too often that approach is ignored.

Failing to employ a structured decision process can be a mistake.