What Are My Options? I'm A Fit, Thin Woman With Rectus Diastisis And Umbilical Hernia (photo)

Thank you for the photos. You are not the typical abdominoplasty patient seen by most plastic surgeons. Your problem is straightforward: need an abdominiplasty with muscle plication and repair of hernias. You do not need liposuction or other procedures which might increase the potential complication rate. As most plastic surgeons have a general surgery background (including myself), repair of the hernias can be done at the time of the abdominoplasty. You do not need a general surgeon involved unless you pick a surgeon who feels uncomfortable with your presentation. This year alone I've done about 8 very similar cases to yours (these women are athletes, yoga teachers and runners). Good luck.

You have figured out that exercise doesn't correct the diastasis, and it won't tighten loose skin. A tummy tuck is usually the best option in those cases, and any board-certified plastic surgeon should be able to give you a nice result. Usually best to see more than one before deciding.