My liver enzymes came back elevated ALK Phosphates 119 AST 87, ALT 193. I'm 3 mo. post pardum fr delivery twins 4/22/16. Advice?

Thanks for your inquiry and an important question.  No one on this site has all the details to your personal medical situation like your own doctors.  Some thoughts.  If you liver enzymes elevation is due to medications, it may take more time for them to normalize.   The risk is that the stress of surgery and the medications used for anesthesia can affect your liver as well.  Please decide carefully when to proceed with surgery, and good luck.  

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Yes, you can develop what is called a chemical hepatitis from pain meds. You'll have to discuss this with a gastroenterologist and your plastic surgeon. No one on this site can speak to the safety of your surgery without a lot more information. personally I wouldn't want to do a TT on you anyway until you are at least 6 months postpartum.