This 49 year old woman was pleasantly surprised to learn that her tummy tuck and breast reduction procedures could be completed at the same time. She had planned to discuss abdominal contouring as she was unhappy with the appearance of her abdomen. However, during her discussion with her surgeon regarding a tummy tuck, the topic turned to her large pendulous breasts. For the majority of her adult life, the weight of her breasts had caused her back, neck and shoulder pain. When she learned that her surgeon could treat both areas at the same time as an out-patient she was in. At six months post op she is thrilled with her new appearance!