sarah 20 15,This question has some practical concerns as well as some health concerns. You would certainly undergo surgery if you had an emergency, such as an appendicitis, or an open fracture, so surgery can be done. That said, the risks will be higher, even if the fluids and salt administration are controlled and limited at surgery. There are other issues, such as anemia, and general nutrition issues that can be seen with incipient renal failure, and other disease states that can co-exist with kidney failure, or even cause it, and they need to be assessed, as well when making a decision. Your medical doctors would also have a large impact regarding their assessment of your suitability for the surgery. Lastly, complication risks tend to be higher, regardless of the surgery type, in patients with other ongoing diseases diseases, such as renal failure, but whereas treatment of such complications would be covered by your insurance in a situation of an emergency surgery, such as an open fracture, or even an elective necessary surgery procedure, like a C-section, any complications that may arise during a discretional cosmetic surgery procedure, like augmentation, may be denied for coverage by insurance. All of these factors need to be weighed carefully in making a decision, but I would not necessarily dismiss such a surgery request out of hand without more investigation as to the risks, as noted above. I hope that this helps.