Traditionally, mommy-makeover surgery is a surgical procedure that combines breast surgery of some sort along with body contouring surgery at a single surgical setting. The breast surgery can be any number of procedures including breast augmentation, breast lift, breast reduction and/or a combination of these. The body contouring procedure can involve liposuction, tummy tuck or a combination of those as well. Knowing that the procedures can be lengthy and somewhat involved, I do not feel that the procedures could be done safely while the patient is 'awake'. The type of anesthesia used is a very important aspect of combination surgery, and having a patient under general anesthesia is perhaps the safest method for combination surgery such as this as it allows for comprehensive patient monitoring as well as expedition of the procedures in order to limit the total amount of OR and anesthesia time.