Can you ever say or do this....

In the interest of stirring up some conversation, I raise a question I was discussing with a colleague and then many others last night that got pretty intense among us.

Can you date and commit to someone that you really like as a person, you communicate well and have much in common etc but there is just some glaring phsyical flaw, with the thinking that with some plastic surgery we can fix that. My colleague is dating a girl who he likes and she phsyically is pretty but with just a terrible nose, it's just too big for her face. A nose job and she'd be his type he says. He asked how I would bring that up and if he even should. He says as is, he couldn't be with her, but if she would get it done down the road he could envision building a life with her. I've always been of the mind that if I wasn't attracted I just wouldn't date the girl as I think that is part of the overall package of being with someone but he thought its so hard to find somebody you like that you can fix the outside package if that is the only hang up which is a fair point. It ended up being a lively convesation amongst a group of us. Being a different culture altogether I'd be curious to hear what the women here have to say. I know it's politically correct to say loving someone means loving how they are and what if their looks changed as they got older or something happens but yeah yeah we can't predict all that so lets keep it real, would you be open to the idea or pissed off if a man said look I really like you and I think we could be forever but we need to change a few things...I want you to get this and this done. Lets flip it around, lets say it's your guy, he has everything going for him and you think he's great but maybe he's got a big nose or his teeth are horrible, would or could you ever say you need to fix that?