This 41 year old woman had loss of breast volume plus stretched abdominal musculature and loose skin after 3 pregnancies. In consultation elsewhere, she was told she “absolutely needed” breast lift plus implants. She came to Minneapolis Plastic Surgery where she was informed that augmentation with implants alone could adequately fill her loose breast skin without the scars or cost of breast lift surgery, and decided to proceed with mommy makeover—breast augmentation, tummy tuck, and liposuction of the hips—all in one outpatient operation in our nationally accredited (AAAASF) on-site surgical facility. Her total intravenous general anesthesia (TIVA) allowed rapid wake-up, even after a 5 hour procedure. She was dressed, sipping a soda, and had visited the restroom prior to her discharge home (adult supervision) in just an hour and a half after entering our recovery room.