Midabdominoplasty is a simple procedure requiring only local anesthetic. It is suitable for lesser abdominal deformities, such as striae, wrinkling, and relaxation, but it is not adequate for resection of lower abdominal lipodystrophy. However, it may be used for correcting diastasis of the rectus muscle or an umbilical hernia. The transverse scar line is minimal, similar to the mark at the waist left by a half-slip or panty. © 1979 Springer-Verlag New York Inc.