Thank you for your question. There are different anesthesia approaches to a tummy tuck surgery. Most plastic surgeons use general anesthesia. I used to do all my tummy tuck surgeries in my office surgery suite under intravenous sedation and epidural anesthesia for years. A few years ago, I switched to intravenous sedation and tumescent anesthesia only. Patients are ready to go home 20 minutes after surgery, almost no nausea/vomiting issues, able to ambulate the same night. Spinal anesthesia or local only I would not recommend, lasts only about 2-3 hours.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.