Hello Modest37383, Thank you for your question about a hysterectomy before a lower body lift and how long to wait between procedures. Also, how long would you need to wait before getting a circumferential lower-body lift? And is it better to start bhrt before or wait til after my lower body lift? Congratulations on your weight loss! Great accomplishment.. Thank you for your history. Most plastic surgeons would agree that it is best to have your hysterectomy with prolapse repair before your lower body lift. Then, if you heal without issues, most plastic surgeons would suggest you wait at least 6 months after your hysterectomy with prolapse repair before you undergo a 360 circumferential lower body lift. BHRT can increase your risk of developing a blood clot after a lower-body lift. Therefore, best to be off bhrt 2 weeks before and 3-4 weeks after your lower body lift. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. I hope I have answered you question regarding a hysterectomy before a lower body lift, how long you should wait in between procedures, how long would you need to wait before getting a circumferential lower body lift, and is it better to start bhrt before or wait til after my lower body lift If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please get in touch with an experienced plastic surgeon. Since the body lift is a major procedure, please seek an experienced, board-certified plastic surgeon with extensive experience performing lower body lifts. Do your research. Make sure they have performed at least 150 circumferential lower-body lift surgeries and have before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. If you cannot find an experienced lower-body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS, FASMBS (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)