Hi LIW
Welcome to Hyster Sisters. I'm so happy you've found us.
I'll try and answer some of your questions. Hopefully someone will come along with answers to the others
a.) Can they even do a tt with the gortex that is in there from the hernia repair? Does that have any bearing?
I'm sorry, I don't have experience with a Tummy Tucky or hernia repair. However, you can try and do a "search" (that's one of the small buttons at the top of the Hyster Sisters message board) on "hernia". You might find some of the answers you're looking for. If you haven't done so already, you can ask your doctor, who is most likely to have the answers regarding your own condition.
b.) Would a Dr. consider doing it at the same time as my vaginal hysterectomy? (would be nice to have only one recovery and one surgery) Or would that be to much surgery for a body to take.
While I didn't have this surgery done, I know that others have. If you do a "search" on "tummy tuck", you'll see that this subject comes back regularly.
c.) I am still like 50 lbs from my goal weight, but would really like to have this done NOW. Will they do it if you are still 50 lbs overweight.
That would be another question that only your doctor can answer.
d.) What are some of the "keys" to getting insurance to pay.
I'm sorry, being from Canada, I have no insights on insurance issues.
I'm sorry I wasn't any more helpful. Hopefully, someone will come along soon with the answers to your questions.