There are three factors to consider, your overall health status, your post-operative goals, and your willingness to be pro-active in the recovery process. It is dangerous to perform any procedure on any patient unfit to undergo general anesthesia, but it is downright foolish to perform an elective cosmetic procedure on such a patient. Patients with heart disease, breathing difficulties, kidney insufficiency, and any other serious medical condition should obtain “clearance” before surgery to make sure they are not putting themselves at an unacceptable risk. Smoking patients should quit for at least a month before undergoing abdominoplasty. It goes without saying that psychological stability is a prerequisite. Women who are of child-bearing age should have had all of the off-spring they were going to have at the time of surgery. This is necessary for two reasons. First, pregnancy after an abdominoplasty will stretch the scar, making it unsightly. Second, pregnancy after a tummy-tuck may re-stretch abdominal skin making it necessary to repeat the surgery. For similar reasons, if you have been losing weight, you must be at your target weight, as any weight-loss will necessitate re-operation. Apart from doubling the cost of this particular surgery, it will expose you to the risk of general anesthesia for a second time, unnecessarily. In terms of postoperative expectations, a good candidate would be very clear about their desires and plainly state what they expect the tummy-tuck to achieve. If surgeon does not know what the goal is, how can he or she work toward it? It is unreasonable to expect this surgery to be a substitute for fat-loss or to complement a poorly completed weight-loss regimen. It is very reasonable to expect an excellent result if you are at target weight and have much excess skin and rectus abdominis muscles that are diastatic (split in the middle), with a bulge that is unrelated to subcutaneous fat. Finally, you must be prepared to work through some discomfort and resume normal activities of daily living early on to help prevent some of the more common surgical complications associated with any surgery.