Last week Dr. Pott and I did an incisional hernia repair on a morbidly obese woman. Along with the repair, we did a panniculectomy, i.e. we removed a large undulating flap of flesh that was hanging down her belly and contributing to her hernia problem. We ended up taking 9 lbs off. My main job was to pull flesh in whatever direction Dr. Pott needed, and I got quite a workout during the course of the surgery, which took about 4 1/2 hours. I hadn’t expected to see much cosmetic surgery in Belize, but the plastic surgery rotation I did before I left Rochester sure came in handy.

Photo: man on porch in San Ignacio, Belize (just thought it looked interesting)...