I work with several OB/GYNs and perform cosmetic procedures during the time of an OB/Gyn procedure on a regular basis. Whether you are a good candidate for a combined procedure depends on 1) the exact procedures being done and 2) your overall health status. Some have concerns about infection and cross contamination. This can be addressed with several things. First, you should receive preoperative IV antibiotics about 1 hour before your surgery start time. Second, I recommend two distinct and separate setups. In other words, the OB/Gyn procedure is done with complete different instruments and set up. The plastic surgery portion of the procedure is done with new instruments etc. The decision for a combined procedure needs to be made on a case by case basis. But if you are having a minimally invasive hysterctomy with the Da Vinci, and you are healthy, I see no reason why you could not proceed with a breast aumgentation procedure at the same time. Please visit with a board certified plastic surgeon in your area to learn more about your options. Wishing you all the best! Dr. Basu Houston, TX