Often only medically necessary surgery may be recommended to minimize any stress on your transplant, kidney. Ultimately, the decision needs to be made by your nephrologist, yourself and the plastic surgeon involved. I suggest you start by talking to nephrologist to see how they feel about it and if they’re willing to give you clearance. Next would be consulting with plastic surgeons in your community to see what each of them has to say. Without seeing pictures, we can’t begin to ask your candidacy for the BBL procedure in the first place. It makes little sense to have the procedure unless it’s going to give you a significant improvement in quality of life. Not everybody who wants a BBL is a good candidate for the procedure. A BBL is in reality to procedures done at the same time. To be an ideal candidate for a BBL someone needs to be a good candidate for Liposuction and a good candidate for fat transfer. Best, Mats Hagstrom MD