I think you look good enough as is.
Well your hair isn't working for your face shape, eyebrows are too dark too dick for your hair and complexion.
It's minor stuff.
Surgery wise, something with the hairline and maybe a lip augmentation.
If someone asked me if you were a girl, I would say stammered and say maybe. If you introduce yourself as a girl then you be a girl in my eyes, but if ask with a question then I would question it. Just being honest.
Like Jessica Alba, a girl? Yes
Megan Fox, a girl? She's beautiful... I think so.
There's a difference, since I think she is but there's a doubt because of her jawline and her thick nose, and bushy eyebrows. But she's a girl definitely, but if I was asked about her I never knew her at all then I don't know.
http://www.wallpaperez.net/wallpaper/celebrities/Megan-Fox-wallpapers-755.jpgSame with Gwen Stefani