Sarah Burge, a woman who has had so much plastic surgery she is known as “The Human Barbie, presented her 7-year old daughter a gift certificate for Liposuction. “I put the voucher in her stocking – there’s nothing wrong with that,” Sarah tells Mail Online, adding that Poppy asks “for surgery all the time.”

Controversy has been brewing over children growing up too fast and the emphasis some parents put on their children to be perfect. With programming such as ‘Toddlers & Tiaras’, the ‘pageant mom subculture’ has increased allowing for this type of behavior to be glamorized, even though the majority of the public, according to recent polls, have found that the average American feels it is not sending the right message to girls.

“She wants to look good and lipo is one of those procedures that will always come in handy,” says Burge. “I see these vouchers as investing in her future – like saving money for her education,” Burge continues. She also gave Poppy a voucher for breast enhancement surgery for her seventh birthday.

No reports have been confirmed that in fact these are certificates good until her 18th birthday or if they are meant to be used while Burge’s daughter is still a child. Children who compete in pageants at an early age are not necessarily exposed to the dramatic stereotypes and extremities of competition while each contest is different.