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There is a reason why medical histories and exams are obtained at good plastic surgery offices. This is appropriate medical practice where people with significant medical problems are identified and treated and/or prepared so that medical surprises (read… medical emergencies) are avoided as much as possible. Pre-operative blood work and EKGs also help identify potential problems or even prevent serious complications. Recent well-publicized “plastic surgery ” related disasters involving high profile people should make every person appreciate the concern and care in their pre-operative evaluation offered by real plastic surgeons.