It's all very minor stuff. I've had surgery before and it was a very minor improvement. In most aspects, I look like a "healthy" adult male. The problem is that my facial attractiveness is subpar and most women I run into in places like NYC and SF have a bar that is hard to pass. Most of the women you encounter that are in relationships are not a respective audience of what you will find out in the singles market. Women who are single at 30+ in NYC/SF are a very different crowd than the ones who married their college boyfriend. Part of the reason these women are single is because of their high demands.

My hope is that one day I will be able to pass the looks threshold and be able to get matches on things like dating apps. I'm doubtful that I ever will and so that's why I am super consistent about going out and doing stuff but the brainrot from being online all the time has infected most women I run into. Most of the women I'd be compatible with just don't go out to many events where single men are.