Abdominoplasty is a commonly performed aesthetic procedure but has one of the highest risks for venous thromboembolism (VTE) events in aesthetic surgery. Surgeons can face challenging decisions when performing combination procedures and deciding on appropriate methods of VTE prophylaxis. This article summarizes the current evidence for the incidence of VTE events in abdominoplasty and abdominoplasty combined with other procedures, the current recommendations for risk stratification and management, and options available for mechanical and chemical VTE prophylaxis.