Unless you find a surgeon who is board certified in BOTH OB/GYN and Plastic Surgery, I would not recommend using one surgeon to do both procedures. This would typically work by the OBGYN first performing the ligation with the plastic surgeon then coming in and performing the abdominoplasty. If the tubal ligation is not being peformed laparascopically, then the plastic surgeon may even come in first and raise you abdominal wall tissue to expose things for the OBGYN.If insurance is covering the tubal ligation, then the portion of operating room and anesthesia time dedicated to the ligation would be covered by insurance and the OR/Anesthesia time for the abdominoplasty would be your responsibility. Your plastic surgeon's office would be able to go over those details with you.