Yes, you can have Smart Lipo with Fibromyalgia. Keep in mind, it is best to be at a healthy, stable weight and health to get the best outcomes. For best results with treatments like Smart Lipo, I recommend adding a combination of radiofrequency treatments like Vanquish, Venus Legacy, Exilis Ultra for skin tightening and with Z wave/Cellutone for skin smoothing in order to get the best results. In our office we do a "Fire and Ice" treatment with Coolsculpting and Vanquish and get great outcomes. However, for the best results with contouring and fat removal, I recommend VASER HI DEF, with ThermiRF and ultrasound. See an expert for a formal consultation. Best, Dr. Emer