Originally posted by: QuietlyLoud
Cosmetic surgery is just like any other surgery,nothing to do with genetics.Even the gender changing surgeries just alters the appearance .A transgender person after being changed to either of sexes will retain the same set of sex chromosomes.Good features means having a good set of genes.So when you alter you alter your appearance,you are deceiving some one into thinking that you have a nice set of genes.but again,Inheritance of most physical traits like skin colour,facial features,height etc are complex involving multiple genes for a single trait.So contribution of a single such trait is not strong enough to change the course of evolution.
I don't know much about the effect of birth control pills. They just change the hormone levels and their side effects are usually limited to the person using them and not passed on the progeny,I think.
Mutations on the other hand have much greater consequences and are inheritable.Some medicines, chemicals,use of nuclear weapons and continuous exposure to ionizing radiations like x-rays(btw do you know you're exposed to mild ionizing radiations on airplane flights?😉I came to know that recently )can cause mutations.Children with genetic anomalies are still being born even after generations due to use of DDT in kasargod,kerala.
I think gene therapy can have a significant effect on evolution if widely practiced.