Is it better to do a BBL awake since I have WPW?

Wolff-Parkinson-White syndrome can be quite serious and certain situations including medication‘s and surgeries can trigger dangerous and potentially lethal heart arrhythmias.
In case I have some thing going wrong during surgery you’re certainly better off having an anesthesiologist there than not having one.
I suggest you go back and talk to your cardiologist about the whole situation and get your cardiologist opinion if they feel it’s appropriate and safe for you to have surgery. If they really feel like there is very little risk in elective surgery then you’ll simply need to find a different anesthesiologist or a different surgeon who uses a different anesthesiologist.
There are risks from the drugs used during awake liposuction that are unique to awake procedures. The amount of lidocaine and often lidocaine with epinephrine used during an awake procedure is far higher than what’s used during general anesthesia cases.
In the end you also need to ask yourself how you feel about increased risk of having surgical procedures since you are the one who will end up with the cardiac arrhythmia if one does happen.
Best,
Mats Hagstrom MD

Hi and welcome to our forum!Wolff-Parkinson-White syndrome is not dangerous for most people. It may be manifested by episodic rapid pounding heartbeat, dizziness, and lightheadedness. If severe, however, treatment may be required, either with medical control or with surgical RF catheter ablation.Each physician has developed a protocol for evaluation and treatment based upon training and years of clinical experience. Every anesthesiologist's past experience plays a role in making a decision for or against performance of a cosmetic surgery procedure.We don't have any clinical information. It may be wise to determine the reasoning of the anesthesiologist in making his / her decision. If you "hit a brick wall" with that approach, consider a preoperative anesthesia consultation with another anesthesiologist before proceeding with rescheduling of the procedure.General anesthesia is the preferable method of anesthesia for BBL.Best wishes...