Over the last decades, this procedure became popular to help patients remove excess abdominal tissue both after significant weight loss or as an adjunct to it. It is one of the five most popular procedures performed. The main indications are: aesthetic improvement of the abdomen, skin laxity following multiple pregnancies, bariatric patients following significant weight loss. No special equipment is required for this procedure, unless liposuction is added. The incision is extensive, typically made through the natural suprapubic crease, to allow it to be hidden in the bikini line. Once the skin flap is raised, the patient is flexed in the bed to re-drape the flap and determine its final position. The fascia of the rectus muscle is then plicated. Postoperatively, it is important that the patient remains in a flexed position for 2 weeks. Seromas and hematomas are relatively common postoperative complications, occurring in up to 1/3 of cases. Detailed review by the link.