INTRODUCTION: Abdominal plication may increase intra-abdominal pressure (IAP). Although concerns that elevated IAP may increase venous thromboembolic events (VTEs) exist, there is a lack of literature investigating this association. METHODS: A retrospective review of all patients who underwent abdominal body contouring at our institution between 2010 and 2020 was completed. Cases were those with postoperative VTEs and were matched to controls (1:4) using propensity score matching techniques. Variables collected include demographic data, operative details, comorbidity indices, and postoperative complications. Parametric, nonparametric, and multivariable regression modeling were used for analysis. RESULTS: Overall, 1,192 patients were included; 19 (1.59%) experienced a postoperative VTE and were matched to 76 controls. The matched cohort was 92.6% female with the average age, Charlson comorbidity index, BMI, and operative time being 44.99 years, 1.38 points, 30.25 units, and 284.69 minutes. BMI differed significantly between cases and controls (32.1 vs 29.8, p = 0.046), as did history of cerebrovascular events (OR: 3.45, p = 0.026). Additionally, patients with postoperative VTEs were more likely to have received intraoperative blood transfusions (OR: 13.88, p = 0.005). Postoperatively, cases had significantly longer LOS (6.21 vs 1.21, p = 0.006) and a much longer duration of chemophylaxis (6.05 vs 1.46, p = 0.015). Cases were significantly more likely to experience concurrent complications including infection, delayed wound healing, and umbilical necrosis (p < 0.001, p = 0.044, p = 0.044). Plication was not associated with VTE outcomes. CONCLUSION: Abdominal plication does not increase the risk of VTEs. However, in patients who do experience VTEs, further caution must be exercised because there is an increased likelihood of concurrent complications.