I wonder if the "markup" on cosmetic surgery is really high, compared to the actual cost? (What I mean is, say it costs $100 to do it, but you usually charge $500. Totally made up numbers, as you can probably tell.) If so, it's probably a way cheaper alternative than something where they'd have to pay "retail" for another benefit. They can say, look, here's a $500. benefit, but the actual cost to them is only $100.

Besides, if it's a place that does much cosmetic surgery, then they probably do want to normalize such surgery and make it seem as commonplace and necessary as possible.

My workplace could offer me a free bike cleaning with more success, though.