Objective. To analyze the effectiveness and safety of surgical waist correction techniques.

Material and methods. We reviewed 20 articles devoted to various methods of waist narrowing.

Results. Liposuction, abdominoplasty with various plication options, rib removal, rib osteotomy and fusion in a new position may be used depending on the patient’s body type, medical history, needs and expectations from surgery.

Conclusion. Kudzaev’s technique is optimal for waist narrowing in these patients due to minimal surgical trauma, low rate of complications and broader indications for surgery.

Keywords. narrow waist, rib removal, rib osteotomy, Kudzaev’s technique, rib remodeling