“Everyone’s a critic,” the saying goes. Applied to the practice of medicine, that sentiment might become “Everyone’s a cosmetic surgeon.”

And unless someone is board-certified in plastic/cosmetic surgery, that’s a far more threatening reality than the mere annoyance of opinionated people who can’t refrain from spouting off.

As reported in USA Today, only 21 states require that offices where doctors perform cosmetic surgery be accredited or licensed. Such practices must have certain life-saving emergency equipment and drugs, must adhere to strict safety procedures including record-keeping, anesthesia and cleanliness and must be subject to inspection.