The most common and most likely answer to this crossword clue is the 10 letter word FACE-LIFTS
I've seen this crossword clue in The Guardian
F
A
C
E
-
L
I
F
T
S
Buddy explains!
The straight part
We know that "surgical operations" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case surgical operations = face-lifts.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.