The absolute platelet count (in your case elevated) is of interest as is the quality of your platelet function. Obtaining a medical clearance from your hematologist will be important since tummy tucks are associated with a somewhat higher risk of blood clots. At the least, early ambulation and the intraoperative use of sequential stockings would be important. You may also be a candidate for anti-platelet medications to prevent thrombosis or DVT.Best wishes,Jon A Perlman MD FACS Certified, Am Board of Plastic Surgery Member, Am. Society for Aesthetic Plastic Surgery (ASAPS) Member, Am. Society of Plastic Surgeons (ASPS) Beverly Hills, Ca