How to ask my boss for time off for breast implants?

I am getting breast implants and labiaplasty and I’m not sure how to ask my boss for time off?

Should I tell them exactly what I’m doing, or just say I have an elective surgery coming up? I work in a small medical office running insurance claims and coding so I think they’ll find out either way... I just dont know how to ask?

Advice? (I’d need a week off)

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