I asked a question of the docs. I thought this answer from Steve Laverson M.D. of San Diego was the most interesting and you should read it very carefully if you are considering liposuction. "The question of who pays for revision surgery is clear in some circumstances, less clear in others....If the problem is less serious, and aesthetic in nature, whether you will be fully or partly responsible for the costs of revision depends on the office policy of your surgeon. In general, several principles apply. First, plastic surgery is an inexact science, and there is NEVER a guarantee of any particular result in advance, expressed or implied. Biologic systems are highly variable, and although your surgeon may control some factors that influence your outcome, he or she does not control your genetics, your general health, swelling and scarring, post surgical activity, and other forces of nature that are germane to your final result. By consenting to surgery, you are accepting a share of responsibility for your result, and acknowledging the element of unpredictability inherent in the surgical pursuit of beauty. You are of course aware that your surgeon has rent, office staff, insurance, medical equipment and supplies, anesthesia, licensing, continuing education, utilities, and additional considerable costs of treating patients every day, and in return for services provided to patients, even those with an imperfect result, these expenses are passed along to you, the consumer of services. In the end, most surgeons try to be fair, and sacrifice a great deal to achieve the best result possible for each patient. We doctors are on the side of our patients. We are in the difficult position of reconciling the demands of our patients, the unpredictability of our craft, and the bill collectors on our doorstep every day." so in effect, cosmetic surgery is: inexact science; there is NEVER any guarantee expressed or implied; most of the problems with it are probably due to your own genetics and habits etc.; doctors have bill collectors at their doors so the expenses are passed along to you so don't expect any 'fixes' for free; and "most" surgeons sacrifice a great deal to each patient (??? How so I would like to know? I would say the reverse is more the truth). Oh and liposuction is a "craft" which means something that is more like art, not science. But fat and body and genetics are all really about science. thoughts anyone?