Background: The lower body contouring surgeries are aiming to improve the contour of the waist, buttocks and thighs. It targets the lower truncal subunit and thighs as a one unit to improve the lower body contour. The aim of the present study was to assess surgical outcomes of the patients in lower body contouring after massive weight loss. Patients and methods: This study was conducted on 10 patients to describe and appraise the different modalities of lower body contouring after massive weight loss at Plastic Surgery Unit, General Surgery Department, Faculty of Medicine, Zagazig University Hospitals. Clinical assesment, scar placement and meticulous marking, surgical procedure and post operative care were performed. Results: The mean of operation time was 213.2 ± 28.36 min with a range from 165 to 250 min. The mean of Lipoaspirate amount was 1213 ± 216.9 ml with a range from 850 to 1500 ml. The mean of time to drain removal was 4 ± 1.3 days with a range from 2 to 6 days, while Length of hospital stay was 2.5 ± 0.84 days with a range from 1 to 4 days. Most of operated cases had no complications (80 %), while complication either in the form of infection or seroma occurs in 10% respectively. There was positive correlation between lipoaspirate amount and length of hospital stay among the studied group. Conclusion: Lower body lift is a safe surgery with no undermining or liposuction in short operative times. The reasonable overall complications rate and the surprisingly lower rate of dehiscence and skin necrosis combined with a pleasant aesthetic result make the lower body Contouring an easy and secure procedure, when applied to the appropriate patient population.