The phrase “damages the reputation" in paragraph 4 implies that there are negative perceptions or stereotypes surrounding plastic surgery, which can undermine the credibility and respect of the field as a whole. Among the given options, the one that closely matches this interpretation is:
A: It suggests that plastic surgery is not considered a respected medical field.
This response reflects how damaging reputational issues can lead to perceptions of plastic surgery as lacking respect compared to other medical fields.