You get a medical degree from an online college and just manage to pass the boards, only to get turned away at the Beverly Hills boarder. Oh well, you can always set up shop at an HMO somewhere in the valley.

You graduate in the middle of your class from a state school and end up practicing surgery somewhere Beverly Hills adjacent.

You intern with a well-known but ancient plastic surgeon in Beverly Hills and he promises to let you in on his practice one day soon. Better hope he doesn't keel over before you're ready.

You paid off your med school loans with your proceeds from your first 12 boob jobs and are filthy stinking rich.

You are the cosmetic surgeon to the stars and are called on regularly to host award shows and give your advice on TV shows like Oprah and Nightline.