The method of surgery is to tighten the skin of the abdomen by undermining the skin and stretching it. Excess skin and fat is then removed. The incision is placed across the lower abdomen but sometimes is like an upside down T. The scars are concealed by clothing. The operation is done under general anesthetic (you are asleep). Often this is an outpatient operation but many patients choose to stay in the hospital overnight. Patients who are obese or have large amounts of loose skin may need a modification of this operation called a panniculectomy.