Dear Jack, If you are referring to a recurrent VENTRAL (Tummy) hernia, yes, it certainly can be done at the same time. The vast majority of Plastic surgeons have fully trained in and are certified in General Surgery AS WELL AS in Plastic Surgery. As such, most of us are quite comfortable repairing ventral hernias. However, in the interest of political considerations we often have our General Surgery colleagues do these with us. Being a cosmetic procedure, your Abdominoplasty (NOT panniculectomy) will NOT be paid for by your insurance company and you will be fully liable for its surgical, anesthesia and hospital cost. The hernia RE-repair MAY be covered, but depending on the insurer would have to be pre-authorized by the surgeon performing it. Once done, your plastic surgeon and general surgeon would have to agree on a time both can be in the OR at the same place and time to ccordinate your surgery. We do it all the time with gynecologists when women undergo GYN procedures and wish to combine them with cosmetic surgery. Hope this helped.