Low heart rate ( less than 60 beats per minute) could be secondary to either medical condition or excellent body fitness.Low heart rate secondary to medical conditions ( e.g coronary disease, miocarditis, etc) or medications requires evaluation by either a PCP or cardiologist and "clearance" prior undergoing elective cosmetic plastic surgery procedures like a tummy tuckLow heart rate secondary to excellent body fitness, usually found in athletes (where excellent physical conditions causes the heart to be enlarged, and therefore have a resting heart rate is lower than norma) might not be a contraindication for elective cosmetic plastic surgery. However, even on these cases, patients should undergo evaluation by their primary care physician, anesthesia team and cardiologist if necessary before any surgery.