Liposuction is indicated on patients who have this excess bulge over the sacrum and around it. This excess is associated with skin redundancy in patients making this zone particularly unattractive. If superficial suction is used, there still could be redundant skin after the liposuction. One should be aware of the possibility of a spinal herniation with a form fruste of spina bifida which could be dangerous if entered. Possible complications include hemorrhage, nerve damage, infection, irregularities of the area with bumps and depressions and, although very uncommon, meningitis secondary to a traumatic perforation of the herniated dural sac. Liposuction of the lumbar area is useful. This should allow the patient to wear clothes and get an esthetic improvement.