In a tummy tuck the skin of the lower abdomen is removed. Usually the skin excision involves an ellipse of skin that goes horizontally from hip bone to hip bone and vertically from the belly button to the pubic bone. If the tattoo is within that area it will be removed with a tummy tuck. Unfortunately, most tattoos that I have seen in the lower abdominal/groin area are positioned so that only the upper half of the tattoo can be easily removed with a tummy tuck. Sometimes it is best to leave the lower portion of the tattoo and look laser removal afterwards. If the tattoo is too low, excision of it with a tummy tuck would lead to an abnormal scar. I hope this helps.