Hello mangusbl: Obviously, it is imporant to be comfortable during a CoolSculpting treatment, even more so because if you move during treatment the applicator can pop off. In our practice we use cushions to lie on, pillow of various shapes and contours, and plush blankets to make patients comfortable. With coffee, tea or water and iPad or iPhone and music the time passes quickly. You should be able to find a comfortable position, most likely leaning with your back and head elevated but not sitting up, perhaps with some pillows propping up your back and the applicator. There is absolutely no reason to have to lay on your stomach. I might suggest you find a board-certified dermatologist or plastic surgeon for your treatment, who plots the placement of your applicators. This is always important, but especially so in the areas you plan to treat. CoolSculpting, when performed properly, is truly a sculpting of the silhouette, and experience matters. My practice was chosen to be one of nine dermatologists and one plastic surgeon to introduce the procedure in 2009 in New York City. I hope this is reassuring! Sheryl Clark MD FAAD The Center for Aesthetic and Preventative Dermatology Our mission is to provide a wholistic patient education, and use our expertise, empathy, and excellence to provide a premier patient experience.