2 hernia repair, tummy tuck, gastric bypass. Can they all be done at the same time?

As long as you are not having problems or symptoms from the hernias, it makes the most sense to have the gastric bypass and then address the other issues AFTER you have lost the weight.  The difference in the result you will get from any body contouring procedure, and especially tummy tuck, after significant weight loss, is dramatic.  Losing the weight first makes it much easier to achieve a lasting beautiful result.  The impact of scars from prior surgeries may be easier to manage as the skin changes position, but this will need to be evaluated in person by your surgeon. It is easier to fix the hernias after weight loss as well, and this can usually be done by your plastic surgeon as it goes hand in hand with the abdominal wall repair that we routinely perform at the time of tummy tuck.  It is quite likely that your need for medicine to control diabetes may change as a result of your weight loss, and many of my patients have normal blood sugar control without the need for medicine as they lose weight after gastric bypass.  It is important to be patient and be prepared that you may feel you look worse as the skin becomes loose with weight loss, but know that you will be a much better candidate for a procedure that will give you truly life changing results if you lose the weight first and allow things to stabilize. Good luck with your transformation!

The idea is to have an abdominoplasty after you have lost weight resulting from the gastric bypass.  Therefore, the procedures cannot be combined. It is common for a plastic surgeon to repair hernias during abdominoplasty.