Liposuction is usually cosmetic surgery so is not considered medically necessary (there are rare exceptions to this). Because of this, it is you who will decide whether or not you will undergo this procedure. You may decide that liposuction is not right for you. You may make this decision without consulting a physician or after consulting with a physician. A consultation with a physician does not obligate you to have liposuction if you decide that you do not want to.