It sounds at first like a good idea but it may not work out as smoothly as one might hope. First of all, there are some potential increased risks when combining these procedures from a surgical standpoint (longer surgery, possibly some increased bleeding) and some plastic surgeons are not comfortable performing a TT at the time of a hysterectomy. Of course, with minimally invasive techniques some of those concerns could be minimized, but it remains a consideration.Secondly, while insurance would/should cover your hysterectomy (to whatever degree it will), it will not normally cover any part of cosmetic surgery or, increasingly, its complications. And the costs of doing that out-of-pocket may be significantly greater than if the procedure were performed in a surgeon's office surgical facility or an ambulatory surgery facility. On the other hand, having the procedures combined, and only a single recovery period, may make that a worthwhile trade.In sum, you should explore this carefully, from both surgical and financial standpoints. Depending on the surgeons involved, and what the numbers turn out to me, it may make a lot of sense to combine the procedures...but not necessarily.I hope that this helps and good luck,Dr. E