Hello and thank you for your question. Positioning during and after surgery requires flexing at the waist. If your spine specialist clears you to be in that position, then you should still be able to undergo an abdominoplasty (aka tummy tuck). If you were my patient, I would want to have a detailed conversation with your spine specialist/surgeon/PCP first though to make sure everyone understands the degrees of flexion at the waist and the amount of time postoperatively that I anticipate you'd be in that position... Be sure to seek a consultation with a board-certified plastic surgeon who specializes in aesthetic plastic surgery and be sure he/she addresses all your concerns about an abdominoplasty and discusses the surgery details including the risks and benefits of the procedure, recovery time, and post-operative course. In terms of the abdominoplasty itself, the necessary skin and fat is removed, the abdominal muscles are plicated (tightened), a small umbilical incision is made that is not externally visible (to give you an "innie" belly button), and a short, low waistline incision is designed to be easily hidden by your underwear or bikini. Please view plenty of before-and-after pictures in real patients (and not just computer-generated images) who have a similar abdominal appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you. For further information on tummy tucks, please refer to the link below. Good luck. Mark K Markarian, MD, MSPH, FACS Harvard-trained Board Certified Aesthetic Plastic Surgeon