Hello and thank you for asking whether you can get breast implants if you had a recent stroke and a pacemaker? The short answer is no.The long answer is that your breast augmentation is an elective surgery i.e. not mandatory, and will likely involve a general anesthetic, which carries significant cardio-vascular complications. You already have significant cardiac risk factors (a pacemaker) and vascular risk factors (a prior stroke) which would predispose you to serious, potentially life-threatening, complications... Please see your primary care physician if any surgery is planned.Best,Mark K Markarian, MD, MSPH, FACSHarvard-trained Board Certified Aesthetic Plastic Surgeon