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Astrid Bergström

Can I deduct a tummy tuck after my gastric bypass surgery on my taxes?

So I had gastric bypass surgery about 18 months ago and lost over 120 pounds (yay me!). My doctor is now recommending I get a tummy tuck to remove all this excess skin I'm left with. It's not just cosmetic - the skin folds are causing some infections and rashes that are pretty uncomfortable. I'm trying to figure out if this procedure would be tax deductible when I file next year. I've been looking through the tax code and it seems like surgeries to "correct deformities" can be deducted as medical expenses. Since the excess skin is literally a deformity caused by my medically necessary gastric bypass, wouldn't removing it count as correcting a deformity? I don't want to claim something I shouldn't on my taxes, but this procedure is going to cost around $14,000 out of pocket since my insurance considers it "cosmetic." If I can deduct it, that would really help financially. Anyone have experience with this specific situation or know how the IRS views this type of procedure?

You're asking a really good question here. The IRS generally doesn't allow deductions for cosmetic procedures, but there are important exceptions that might apply in your case. Medical expenses are deductible if they're primarily for the "diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body." The key here is whether your tummy tuck is considered medically necessary or purely cosmetic. Since you mentioned your excess skin is causing infections and rashes, you have a much stronger case. The IRS specifically states that procedures that improve appearance but also meaningfully promote proper function of the body can be deductible. Get your doctor to document that this procedure is medically necessary to prevent ongoing skin infections and improve body function - this documentation is crucial if you're audited. Remember that you can only deduct medical expenses that exceed 7.5% of your adjusted gross income, and you need to itemize deductions rather than taking the standard deduction.

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This is really helpful but I'm a bit confused. If my doctor writes a letter saying it's medically necessary but my insurance still won't cover it because they consider it cosmetic, will the IRS side with my doctor or my insurance company's determination?

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The IRS generally gives more weight to your doctor's medical determination than to what your insurance company decides to cover. Insurance companies often deny coverage for procedures that would still qualify as medically necessary under IRS guidelines. What matters most to the IRS is whether the procedure meaningfully treats a medical condition or physical issue. Your doctor's letter should specifically mention the skin infections, rashes, and any mobility or functional problems caused by the excess skin. These documented medical reasons make it more than just a cosmetic procedure.

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Before I had my gastric bypass surgery and subsequent skin removal, I was overwhelmed trying to figure out all the tax implications. That's when I discovered https://taxr.ai which completely simplified everything for me. I uploaded my medical documentation and bills, and it analyzed whether my procedures would qualify as deductible medical expenses. The tool confirmed that my skin removal surgery was likely deductible because it was done to address medical issues (recurrent infections, mobility limitations) rather than purely cosmetic reasons. It even helped me understand exactly what documentation I needed from my surgeon to support the deduction. The most valuable part was that it showed me how to properly claim these expenses on my tax return and estimated how much I'd actually save based on my income. Honestly saved me hours of research and worry.

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Does it actually review your specific medical documents or just give general advice? I've tried other "AI" tools that just spit out generic info you could find anywhere.

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I'm skeptical that any app would know better than a CPA. Wouldn't you still need a professional to look over everything before filing? Especially for something that could potentially trigger an audit like medical deductions?

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It actually analyzes your specific documents and gives personalized guidance based on your situation. It's not just generic advice - it identified specific language in my surgical reports that supported the medical necessity argument and flagged areas where I needed additional documentation. The system isn't replacing professional advice, but working alongside it. Many people use it first to understand their situation and gather the right documentation, then take everything to their CPA who often appreciates the organized approach. It helps you come prepared with the right questions and documentation rather than starting from zero.

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I was skeptical about taxr.ai at first too, but I decided to try it after my panniculectomy (similar to a tummy tuck but specifically for removing the hanging skin apron after major weight loss). I uploaded my medical records and bills, and it immediately identified that my surgery would likely qualify as a medical deduction because my documentation clearly showed recurrent skin infections. The tool even pointed out specific IRS regulations and previous tax court cases about similar surgeries! When I took all this information to my accountant, she was impressed with how thoroughly I'd prepared. We claimed the deduction (around $15,500) without any issues. The system saved me nearly $4,200 in taxes that I would have missed otherwise because my accountant initially thought all "tummy tucks" were considered non-deductible cosmetic procedures.

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If you're having trouble getting a straight answer from the IRS about whether your procedure is deductible, you might want to try https://claimyr.com. I spent weeks trying to reach someone at the IRS for clarification on a similar medical deduction question and kept hitting dead ends with ridiculous hold times. Claimyr connected me with an actual IRS agent in about 45 minutes when I had been unable to get through for days on my own. I was able to ask specifically about post-bariatric surgery skin removal and got clear guidance directly from an IRS representative. They explained exactly what documentation I would need to support the deduction. You can see how it works in this video: https://youtu.be/_kiP6q8DX5c - totally changed my perspective on dealing with the IRS. Instead of guessing or relying on potentially outdated forum advice, I got an official answer specific to my situation.

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How does this even work? I thought the IRS phone system was just permanently broken. Are they somehow jumping the queue or something?

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This seems kinda sketchy. Why would I pay a third party to call a government agency I can call myself for free? Just sounds like a way to profit off a broken system.

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They use technology that navigates the IRS phone system and holds your place in line, then calls you when an agent is about to be connected. It's not jumping the queue or anything shady - you're still in the same line as everyone else, but you don't have to waste hours listening to hold music. The value isn't that they're doing something you can't do yourself - it's that they're saving you from spending half your day on hold. For many people (especially those who work during IRS business hours), the time saved is well worth it. When you need an official answer from the IRS about something that could affect thousands of dollars on your tax return, spending hours on hold just isn't practical.

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I owe everyone here an apology. After dismissing Claimyr as sketchy, I actually tried it last week when I was desperate to resolve an issue with my medical deductions before filing my taxes. I had been trying to reach the IRS for THREE DAYS with no success. Honestly, it worked exactly as advertised. I got a call back in 37 minutes with an actual IRS agent on the line. The agent confirmed that skin removal after significant weight loss CAN be deductible if it's treating medical issues like infections or mobility problems. They told me exactly what documentation I needed (doctor's letter specifying medical necessity, before/after photos showing functional improvement, and detailed billing showing the specific procedure codes). This saved me from potentially missing out on a $9,000 deduction. Sometimes it's worth admitting when you're wrong!

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My wife had a similar situation with excess skin removal after weight loss surgery. What made the difference for us tax-wise was having extensive documentation from her dermatologist about the recurring fungal infections she was getting in the skin folds. Her primary care doctor and surgeon also documented how the excess skin was limiting her mobility and causing back pain. We deducted the surgery (around $12k) on our 2023 taxes. We did get a letter from the IRS asking for more information, but once we sent in all the medical documentation, they accepted the deduction without any further questions. The key is really distinguishing it from a purely cosmetic procedure. Make sure your doctors are specific about the medical issues being addressed.

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Did you have to get a specific type of letter from the doctor or just your regular medical records? I'm wondering what documentation I should ask my doctor for.

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We got three things from her doctors: 1) Her regular medical records showing the history of treatments for the skin infections, 2) A specific letter from her surgeon stating that the procedure was medically necessary to prevent ongoing infections and improve mobility, and 3) Before and after photos that were taken as part of her medical record (these showed the severe skin folds and how they were affecting her posture). The letter was the most important part. It specifically stated that this was not being done for cosmetic purposes but to address specific medical conditions. Make sure your doctor includes the medical diagnosis codes related to your skin issues and any functional limitations.

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Has anyone used TurboTax to claim this kind of deduction? I'm wondering if their software flags this as a potential audit risk or if there's a specific way to enter it.

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I used TurboTax last year to deduct my post-weight loss skin removal surgery. You just enter it as a medical expense with all your other medical costs. The software itself doesn't specifically flag it, but it does remind you that you need documentation for all medical expenses. I kept all my documentation in a separate file just in case of an audit, but TurboTax itself was pretty straightforward about it. Just make sure you're itemizing deductions rather than taking the standard deduction, otherwise your medical expenses won't matter.

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