I would honestly wait a while before deciding on something that ill last forever. You can actually get prosthetics to make it look like the real thing, and if you get high quality ones, they would look real.
As for employment, unless they are huge and pointy I'm not sure they would make a difference. If it's something subtle you could lie and say you had an injury as a child and this was the only way it could be repaired at the time, and you don't want more surgery. If they were huge elf ears, that won't work.
I'd personally like vampire fangs. They make real looking fake fangs, custom fitted to your teeth, matching the color of the rest of your teeth. You can take them off when you want, but can eat with them on. Food, that is. If I were to ever get them, I would get small ones that you barely notice and only make people slightly uncomfortable because they could be real. Nothing like horror movie, obviously fake ones.
I don't like the horns implanted in the head, either.
If I could get any surgery on myself I would get a face lift, nose job, eye lift, slight upper lip implant, chin implant - because I have a very weak chin, boobs, tummy tuck, butt lift, and the cellulite sucked out of my thighs. Anything else I wanted could just be added on and taken off. Like fangs.
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I'm giving it another shot. We will see.
My forum is still there and everyone is welcome to come join as well. There is a private women only subforum there if anyone is interested. Also, there is no CAPTCHA.
The link to the forum is
http://www.rightplanet.proboards.com