These accounts have the advantage of being simple, intuitively appealing, and consistent with a lot of biomedical behavior. Maladies are objectively observable phenomena and the traditional target of medical intervention. We can know maladies through diagnosis, and we can tell that we have gone beyond medicine when no pathology can be identified. Thus, pediatric endocrinologists discourage enhancement uses of biosynthetic growth hormone by citing the old adage “If it ain’t broke, don’t fix it”. This interpretation is also at work in the efforts of professionals working at the boundary, like cosmetic surgeons, to justify their services. They claim to be relieving “diagnosable” psychological suffering (“mental maladies”) rather than satisfying the aesthetic tastes of their clients, and insurance companies insist on being provided with that diagnosis before providing coverage for such surgeries.