The purpose of this study was determine whether or not performing abdominoplasty in conjunction with additional procedures would result in an increased complication rate. A total of 102 patients that underwent body contouring procedures, either alone or combined with additional surgery, between March 2003 and March 2005 were included. A retrospective study design was utilized with Internal Review Board approval. All operative and postoperative notes and tests were reviewed for complications. The combined surgeries included breast reduction, mastopexy, hysterectomy, colostomy revisions, and hernia repairs among others. Complication rates were also correlated with BMI. Twenty seven patients underwent abdominoplasty alone and 47 in the abdominplasty combined group. The complication rates of 18.5% vs. 17% respectively were analyzed with a t-test (p = .44). Complication rates for all patients were further stratified in relation to BMI. There was a direct correlation between increasing BMI and increasing complication rate. Comparison of BMI < 25 (normal) with BMI > 30 (obese) revealed complication rates of 9% vs. 36% respectively (p < .02). Obesity is an significant predictor of postoperative complications. Combining abdominoplasty with additional surgical procedures does not lead to increased complication rates and is safe with carefully selected patients and appropriate DVT prophylaxis.