It’s an excellent question that you're asking and the short answer is that a tummy tuck does not remove visceral fat. Visceral fat however, does play a role during a tummy tuck surgery.Visceral fat is inside your abdomen. It lies behind your abdominal wall and envelops your internal organs. After the abdominal wall is tightened during an abdominoplasty procedure, it's the visceral fat and organs that push against the repair. The less visceral fat that is present at the time of your procedure, the tighter the surgeon can make the abdominal wall during the "muscle repair". If a patient gains a significant amount of weight after an abdominoplasty procedure, the internal visceral fat can push against the repair and restretch the abdominal wall.The effect of the visceral fat at the time of your procedure is part of the reason that plastic surgeons commonly request that patients are at a stable weight prior to performing an abdominoplasty procedure. They don't want the amount of visceral fat to fluctuate. If you plan to lose weight after a tummy tuck procedure, then it's better to lose the weight beforehand, so that the belly can be made even flatter and tighter during the procedure. If you gain weight after the procedure, then there is concern that you could stretch out the muscle repair. Visceral fat can be reduced by using diet and exercise, in the same way that you would lose fat anywhere else in the body. It's best to hit your goal weight, and then move forward with a tummy tuck surgery. Good luck on your journey.