If you are currently experiencing congestive heart failure, you will not be a candidate for elective breast surgery. On the other hand, if you have a history of congestive heart failure (but are currently doing well), you will need to be seen by your cardiologist for an evaluation prior to proceeding. Your cardiologist will be your best resource when it comes to determining whether or not you should entertain undergoing elective surgery. Assuming, your cardiologist does give you "clearance" to proceed, please be careful to select your plastic surgeon, anesthesiologist, and surgery facility carefully. In my practice, I would ask to see copies of all cardiac testing that had been performed. Best wishes.