Make sure that your plastic surgeon knows the results of your lab tests. Most plastic surgeons will want to see a hemoglobin of 12. The HgB does not have to be artificially elevated for surgery. BBL can be performed for most individuals with a hemoglobin above 10 or 11. Your surgeon or your PCP should be able to recommend an appropriate regimen based upon the cause of your anemia. Typically iron supplements, and Vitamin C are recommended as well as a diet rich in dark leafy veggies, liver, lentils, almonds, dried apricots, beets, and other high iron content foods Have your labs repeated a few days before your scheduled surgery. If they remain low, ask your plastic surgeon if he recommends that you postpone your BBL until they reach a satisfactory level. Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA