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The Stone is a forum for contemporary philosophers on issues both timely and timeless. While living in Rio de Janeiro in 1999, I saw something that caught my attention: a television broadcast of a Carnival parade that paid homage to a plastic surgeon, Dr. Ivo Pitanguy. The doctor led the procession surrounded by samba dancers in feathers and bikinis. Over a thundering drum section and anarchic screech of a cuica , the singer praised Pitanguy for “awakening the self-esteem in each ego” with a “scalpel guided by heaven.” ‘The psychoanalyst knows everything but changes nothing.