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Edited version of private ruling

Authorisation Number: 1011720121827

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Subject: cosmetic surgery

Question 1

Are you entitled to a deduction for the cost of your cosmetic surgery?

Answer: No

Question 2

Are you entitled to a medical expenses tax offset for your cosmetic surgery?

Answer: No.

This ruling applies for the following period

Year ended 30 June 2010

The scheme commenced on

1 July 2009

Relevant facts and circumstances

You are a sex worker.

You had a breast augmentation surgery as well as dermabrasion and laser treatment to your face.

You paid for the procedures yourself.

Your income increased following the procedures.

Relevant legislative provisions

Income Tax Assessment Act 1997 Section 8-1.

Income Tax Assessment Act 1936 Section 159P.

Income Tax Assessment Act 1936 Subsection 159P(1).

Income Tax Assessment Act 1936 Subsection 159P(4).

Reasons for decision

Deduction

Section 8-1 of the Income Tax Assessment Act 1997 (ITAA 1997) allows a deduction for all losses and outgoings to the extent to which they are incurred in gaining or producing assessable income except where the outgoings are of a capital, private or domestic nature, or relate to the earning of exempt income.

The courts have considered the meaning of 'incurred in gaining or producing assessable income'. In Ronpibon Tin NL Tong Kah Compound NL v. Federal Commissioner of Taxation (1949) 78 CLR 47; 56 ALR 785; 8 ATD 431, the High Court stated that:

'For expenditure to form an allowable deduction as an outgoing incurred in gaining or producing assessable it must be incidental and relevant to that end. The words "incurred in gaining or producing the assessable income" mean in the course of gaining or producing such income.'

Medical expenses have no direct connection to the gaining or producing of assessable income. There is insufficient connection to the gaining or production of assessable income for a deduction to be allowed as the expenditure is too remote. In addition, medical expenses can be characterised as being of a private nature and therefore can also be excluded on that ground.

In your case, although you believe the purpose of the breast augmentation and facial treatments may help to improve your income earning activities, this does not change the private nature of the expenses incurred. There is no direct connection between the costs of the surgery and the derivation of your income from that employment.

You are therefore not entitled to a deduction for the medical expenses incurred in undergoing the cosmetic surgery under section 8-1 of the ITAA 1997.

Medical expenses tax offset

A medical expenses tax offset is available under subsection 159P(1) of the Income Tax Assessment Act 1936 (ITAA 1936) for an income year where you pay for medical expenses in that income year. You are not entitled to a tax offset for medical expenses which are ineligible medical expenses.

Paragraph 159P(4) of the ITAA 1936 defines 'ineligible medical expenses' as payments to a legally qualified practitioner, nurse or chemist, or a public or private hospital, in respect of a cosmetic operation that is not a professional service for which a Medicare benefit is payable. 

In your case, you have had breast augmentation surgery and facial treatments. As these treatments are considered cosmetic and no Medicare benefit is payable, you are not entitled to a medical expenses tax offset.


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