I presented to my PS very large fibroids and severe muscle separation. My OBGYN informed me that due to the sz of my fibroids my incision would be vertical. So I decided that if I had to go under the knife I would consult with a PS. My PS informed me that combining procedures would allow him to make the horizontal incision then my OBGYN would remove my uterus and he would finish with tummy tuck. Can't wait to be about to just feel normal again.