Option of plastic surgery is a postcode lottery

Abela and colleagues highlight the crucial role of plastic surgery in managing patients after surgery for obesity, 1 although plastic surgeons were omitted from the multidisciplinary team in Leff and Heath's clinical review. 2 A postcode lottery for plastic surgery in the UK might explain the omission. 3 Only 62% of primary care trusts allow abdominoplasty without exceptional circumstances, and they set a range of inclusion criteria for patients who have had surgery for obesity, including a decrease in body mass index from 45 to less than 27 and stability of weight for up to 24 months.