Cosmetic surgery for pets is becoming more and more readily available, and people who own dogs and silently weep themselves to sleep at night are jumping at the opportunity. In some cases, the surgery is medically warranted, due to infections in the wrinkles of melty-faced dogs, and breathing problems due to pug noses. Of course, these are often the exact wrinkles and smushy noses that have been artificially bred into the creatures for maximum cuteness. For instance, this sharpe's face looked like rumpled up laundry because humans thought it would be cute, and then those same humans had to operate on his face upon realizing that there's a reason evolution didn't invent Pound Puppies.
"My world is a sinus infection."
And then there are the times when the breed doesn't live up to the cosmetic features they're bred for, and they need to be fixed up so the neighbors will stop looking down on you. For instance, your Doberman's ears aren't as perky as you'd hoped? That's nothing a head clampin' can't fix:
"People won't take this hundred pound tooth-monster seriously without straight ears."