Cynthia S. Al-Murshidi - Page 3




                                        - 2 -                                         
               Respondent determined a deficiency of $1,432 in petitioner’s           
          1996 Federal income tax.  After a concession by petitioner,2 the            
          issue is whether section 213(d)(9) (relating to the disallowance            
          of certain surgical expenses) precludes a deduction for medical             
          expenses paid by petitioner.  Petitioner resided in Roanoke,                
          Virginia, at the time the petition was filed.                               
                                     Background                                       
               The applicable facts may be summarized as follows.                     
          Petitioner suffered from severe obesity for a period of years               
          prior to 1996.  Without the aid of surgical intervention,                   
          petitioner lost over 100 pounds.  As a result of the weight loss,           
          petitioner developed a mass of loose-hanging skin which spanned             
          the width of her abdomen and spilled over onto her upper thighs.            
               Petitioner was employed as a registered nurse at the                   
          Carilion Roanoke Community Hospital where she worked in the                 
          emergency room.  Her duties called for frequent bending, running,           
          and other physical activities.  The skin mass prevented                     
          petitioner from comfortably performing her emergency room duties.           
          Additionally, the mass was prone to skin breakdowns, sores,                 
          infections, pain, and irritation.                                           
               After the weight loss, petitioner underwent three surgeries            
          to remove this skin mass.  The first procedure utilized                     


          2  Petitioner concedes that $787 of the amount claimed as medical           
          expenses represents pretax payments for medical insurance and is            
          therefore not deductible.                                                   




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