I also had a c-tuck! It was after my 2nd c-section, along with getting my tubes tied. I have a male obgyn, and I was in the same boat as you 19 months ago, not knowing what to get him. A meaningful, thoughtful hand written thank you seemed the best for me, since I could express my gratitude. I have always felt bad that I didn't get him a little something, until last week. I went in for my yearly pap, and he was so proud of his "work" and to see not only how well the scar looked, but to see that by doing that procedure he really did help me. It has helped my cinfidence as well as encouraged me to lose more weight. I have always been overweight, and when I went in last week, I weighed 50 pounds less than I did when I first got pregnant. He was so proud! I saw pure joy and satisfaction in his face, and I thought to myself that by showing him my progress from his work,that was a great way to"thank" him. As a matter of fact, he called a new nurse into the room to show her, but I think he just wanted to bragg! Any who, my point is that you can always give a gift and hope that they will keep it, but a simple letter expressing your feelings is way better. Showing up years down the road and showing off your progress is like icing on the cake!