Contact cosmetic surgery on Legendrian knots in integer homology sphere $L$-spaces

We extend the study of contact cosmetic surgeries to Legendrian knots in integer homology sphere L-spaces . We prove that the contact cosmetic surgery conjecture holds for all non-trivial Legendrian knots in this setting, with the possible exception of Lagrangian slice knots. Our argument adapts and refines techniques from the S3 case to the broader context of L-spaces, incorporating constraints arising from Heegaard Floer theory