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This student at a T10 school told me that at least for the MD/PHD program, if all else would equal, they’d pick the more attractive person.
Honestly I think most people can at least look decent. If you look at athletes, even the ones who don’t have insane features look good because they’re so fit and eat well.
There's a lot of self selection going on using athletes as an example. Also a lot of make-up/photo editing with the most popular/visible athletes. Even looking at some of the less visible women's sports at the top level such as softball or rowing, you see a huge distinction in body types from the more popular and "good-looking" tennis players, gymnasts, etc. Men's sports have similar diversity, but it's generally not as noticeable because size and muscle mass fit much better with male aesthetics than female.