Compression garments after abdominoplasty serve three primary purposes: patient comfort, assistance with patient mobility and control of edema. Most tummy tuck patients feel better and have an easier time changing positions (laying to sitting, sitting to standing, etc) and ambulating with the feeling of abdominal support that a compression garment provides. My preference is to start patients out with a three-panel, Velcro-fastened abdominal binder that is easily applied and removed. This allows easy access to surgical dressings and easy inspection of the abdominal skin in the early postoperative period. Patients are placed in a form-fitting but comfortable compression garment at their postop day two appointment after the On-Q catheters (local anesthetic infusion system for postop pain control) are removed. The garment should cover the entire trunk, and ideally should incorporate breast coverage to keep the garment from slipping downward. It should have an open crotch (panties are worn over the garment) so that it does not need to be removed for every trip to the bathroom. Most patients seem to prefer a garment that includes the upper thigh (rather than a 1-piece swimsuit-style coverage at the hips) so that it does not ‘pinch’ in the hip or groin area, although we give patients that choice. Compression also helps to control the subcutaneous edema that is a normal part of abdominoplasty recovery. The process of elevating the abdominoplasty flap (as well as liposuction of the central subcutaneous portion of the flap which is required in most patients) temporarily impairs normal lymphatic drainage. The lymphatic system is responsible for directing fluid that leaks out at the capillary level from the vascular system back to the venous system. Because lymphatic drainage is impaired, it is quite common for subcutaneous edema (swelling) to develop in the flap – which persists until the remaining lymphatic channels recover and new ones develop. Some patients have very little edema postop, and can discontinue the use of their compression garment earlier.