International Urogynecology Journal

, Volume 24, Issue 12, pp 1997–2009

Female genital cosmetic surgery: a review of techniques and outcomes

  • Cheryl B. Iglesia
  • Ladin Yurteri-Kaplan
  • Red Alinsod
Review Article


The aesthetic and functional procedures that comprise female genital cosmetic surgery (FGCS) include traditional vaginal prolapse procedures as well as cosmetic vulvar and labial procedures. The line between cosmetic and medically indicated surgical procedures is blurred, and today many operations are performed for both purposes. The contributions of gynecologists and reconstructive pelvic surgeons are crucial in this debate. Aesthetic vaginal surgeons may unintentionally blur legitimate female pelvic floor disorders with other aesthetic conditions. In the absence of quality outcome data, the value of FGCS in improving sexual function remains uncertain. Women seeking FGCS need to be educated about the range and variation of labia widths and genital appearance, and should be evaluated for true pelvic support disorders such as pelvic organ prolapse and stress urinary incontinence. Women seeking FGCS should also be screened for psychological conditions and should act autonomously without coercion from partners or surgeons with proprietary conflicts of interest.


Female genital cosmetic surgery Cosmetic gynecology Vaginal rejuvenation Labiaplasty Vaginoplasty 

Copyright information

© The International Urogynecological Association 2013

Authors and Affiliations

  • Cheryl B. Iglesia
    • 1
    • 2
  • Ladin Yurteri-Kaplan
    • 3
  • Red Alinsod
    • 4
  1. 1.Section of Female Pelvic Medicine and Reconstructive SurgeryMedStar Washington Hospital CenterWashingtonUSA
  2. 2.Departments of ObGyn and UrologyGeorgetown University School of MedicineWashingtonUSA
  3. 3.Section of Female Pelvic Medicine and Reconstructive SurgeryMedStar Washington Hospital Center, Georgetown University School of MedicineWashingtonUSA
  4. 4.South Coast Urogynecology, IncLaguna BeachUSA

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