Dear feellikemyselfagain, In an ideal world, all of our patients would walk through our doors at their ideal weight. However, in the real world, getting to "ideal" weight can be difficult or in some cases not possible. As a general rule of thumb, we like our patients to be within 20-25 pounds of goal weight. We have found that by using this parameter, if a patient goes on to lose the rest of their excess weight, that this does not significantly alter their result. If you are continuing to lose weight with a healthy diet and exercise, then by all means continue to do so before you have surgery. If you are having trouble losing any more weight or cannot lose any weight at all, then seek a consultation with an expert mommy makeover board certified plastic surgeon to discuss your options. Many patients can have procedures with very nice outcomes even if they are not at ideal or goal weights. Good luck.Dr. Gervais