Abdominoplasty and body contouring procedures are important steps in the journey for massive weight loss patients. Thorough understanding of anatomy, patient workup, and appropriate selection of technique(s) are of the utmost importance in achieving an aesthetically pleasing outcome. Body contouring can not only improve cosmesis but can also improve function and quality of life. The goal of this chapter is to provide readers with an overview of anatomy, patient selection, indications, contraindications, and complications of body contouring procedures.