Thank you for the question.Yes, plastic surgical procedures can be done safely for patients with a variety of different “medical conditions”. Careful evaluation and treatment of the medical condition is necessary prior to determining the appropriate candidates for the tummy tuck procedure. In your case this would be best done by your internist and nephrologist. These physicians know your situation best and would be best suited to discuss your suitability for the procedure and the potentially increased risks/ complications that you should consider very carefully. Once these doctors provide you "medical clearance", please make sure you are seeking consultation with well experienced board-certified plastic surgeons who preferably work with board-certified anesthesiologists in fully accredited surgery facilities. Then, careful communication between all the doctors involved will be helpful when it comes to providing you with optimal care. In your case specifically, I would recommend that you undergo the medically necessary procedure first; consider elective surgery once this has occurred and you have been medically stable for a period of time.Please make sure that you keep your overall health/safety as the first priority. Best wishes.