The abdomen plays a leading role in the aesthetic image of the human body, and is of prime importance in defining the overall contour of the individual. Abdominal girth and waistline measurement are constant sources of anxiety and reflection. Improvement of the waistline is one of the goals of abdominoplasty. However, its shape depends on several factors, such as fat deposit, individual abdominal contour, and degree of muscular tension. This randomized prospective comparative clinical study was conducted on patients complaining of various degrees of abdominal wall laxity and comparing various techniques of management. In this study the strategy of plication was made to get both functional outcome of effective, tight and safe plication beside aesthetic outcome to all patients.