Elective to me means no medical purpose or improvement (medical includes mental health bc yes your brain is an organ), because every surgery has risks and every day procedures can go horribly wrong. If someone chooses to get elective surgeries, I’ll warn against the risks and stuff but if they made an informed decision I’ll support their decision.
Doctors don’t tend to explain risks very well and are either in extreme support or extremely against but don’t really explain the pros and cons very well with surgeries, I’ve had over 14 surgeries (I definitely lost count) so it’s a familiar situation to debate whether or not to get them. So the cons/risks are the first thing I will bring up on elective surgeries