Thank you for your questions. I can understand your concern but I think you have a misunderstanding of the complication profile of this procedure. The reason this procedure is so high risk is because of something called a fat embolus. This can happen with trauma to the large gluteal veins where fat then gets into the vein and travels back to the heart and lungs. Once you understand what is usually causing the deaths in these patients, then you can appreciate that the post-op care in terms of hospital admission or not is not really helpful......the bottom line is if you do not have a fat emoblus, you are going to do fine being discharged to home the day of surgery for a normal recovery. If you have a fat embolus happen, then no amount of hospital time or post-op care is going to help, this is often a fatal complication. It is possible that if you were in the hospital, the signs could be noticed faster and treated with greater efficiency, but the question is whether or not it could actually be treated to prevent death and the answer is probably not. Bottom line, you have to decide whether the outcome is worth the risk of 1 in 3,000 chance of death. If it is not, then don't have surgery.....it's that easy. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery