I have to agree with today's destination. I would get a dress that fits you now - unless you are smaller uptop and plan on going really big then I would get a size up. I would not get sequence or alot of detail on the dress as this will get affected when the alterations are done. You also have to remember you will be swollen for a while after surgery and may need to wait a bit on the alterations - just to be safe. Good luck!