Abdominoplasty is a major surgical procedure associated with a variety of complications. Some studies1–3 indicate that the risk of severe complications, including mortality, ranges from 1 in 617 to 1 in 2320. This article focuses on avoiding and treating some of the more common problems typically encountered in abdominoplasty. One “complication” that is not reported routinely occurs when an operation is successful but the patient is disappointed with the results. Invariably this situation is the result of a lack of communication or a misunderstanding. Initially patients should be educated about the objectives of the operation, and these objectives should be reconciled with their goals and concerns. In addition, patients should have a thorough understanding of the basic technique of the surgery, the use of anesthesia, and the recovery process, which will limit any surprises that may be upsetting to the uninformed. Furthermore, the surgeon should attempt to understand the patient's motivations and goals to avoid any conflicts. Although some patients may be anatomically suitable for a procedure, not everyone is a candidate for elective surgery. Alan Matarasso, MD, New York, NY , is a board-certified plastic surgeon and an ASAPS member. The combination of liposuction and abdominoplasty has improved our ability to contour the abdomen. However, potential wound healing problems (Table 1), particularly in the abdominoplasty triangle (from umbilicus to pubis), should be considered6 (Figure 1). Undermining the flap in an inverted “V” fashion (thereby preserving the Huger Zone III intercostal blood supply), avoiding excess tension on the flap closure, limiting flap thinning, and limiting excessive liposuction are measures that aid in preserving flap integrity (Figure 2). If an abdominal flap appears to be compromised, the umbilicus can be externalized after surgery, thereby preserving some additional midline crossover blood …