Thank you for your question regarding bowel cleansing before your tummy tuck. Based on your surgeon’s advice, it seems that in your case, they do not consider the bowel cleanse absolutely essential for the procedure, especially since you’ve vomited after attempting it. For most tummy tuck surgeries, a bowel cleanse is not usually required unless specifically advised by the surgeon. The focus is typically on ensuring that your stomach is empty, which can be managed by following the surgeon’s instructions for a liquid diet and fasting before surgery. Since your surgeon has advised you to stay on a liquid diet and is not concerned about the bowel cleanse, it's safe to follow their instructions. The liquid diet will help keep your digestive system light and prepare your body for the surgery without adding unnecessary stress. If you're still feeling uneasy, it's important to reach out to your surgeon again for reassurance. They will ensure you’re prepared for a safe and successful surgery. I wish you the best with your tummy tuck, and I’m sure you’ll do great tomorrow! Sincerely, Dr. Katzen