A new Channel 4 TV show called The Surjury will see young people go under the knife if they are given the thumbs-up by a 12-strong jury.
Those wanting cosmetic surgery must secure 75% of the jury vote to get their procedure and, months later, "will be invited back to show off the results".
Ross McCarthy, executive producer for Gobstopper Television, which is making the show, said: "This is a totally new way of doing peer-to- peer advice. Our pitchers will either get the surgery they've always wanted, or a massive boost in confidence when the public rules they don't need work at all!"
Becky Cadman, Channel 4's factual entertainment commissioning editor, said: "The Surjury is an innovative format that promises to literally get under the skin of people who think that a quick fix is their best option."
Channel 4 said the "life-changing procedures" on the show will put cosmetic surgery under the spotlight for an "image-obsessed generation".
"From bum-lifts to nose jobs, sculpted abs to breast enlargements, The Surjury allows people to explore their choices more thoroughly and to take measured advice from their peers, some of whom may previously have gone under the knife themselves and will happily hold court on the subject," the broadcaster said.
Other shows announced by Channel 4 include ex-soldier and adventurer Ed Stafford documenting his first-hand experience of Britain's growing homeless crisis in 60 Days On The Streets.
The three-part series follows Stafford as he spends 60 days and nights on the streets of London, Manchester and Glasgow during winter.
The Restaurant That Makes Mistakes will examine attitudes to dementia when a group of Alzheimer's sufferers go to work in a restaurant where they will be visited by the public and celebrity diners including Hugh Bonneville and David Baddiel.
And a group of mothers of teenage children "will research the world of modern pornography and then produce their own mum-approved pornographic film in Mums Make Porn".
Additional reporting by the Press Association.
