Cosmetic Gynaecology in Ahmedabad, Gujarat

Typically Rs 45,000 to Rs 65,000 for labia minora reduction on both sides, rising to Rs 60,000 to Rs 80,000 if the clitoral hood is addressed at the same time. Ask for the quote itemised, and ask whether it is for one side or both.

You feel nothing during the procedure - local anaesthetic with sedation numbs the area completely. Afterwards most women describe soreness and swelling rather than sharp pain, worst in the first 48 hours and manageable with ordinary painkillers. Sitting is the uncomfortable part for the first few days.

Back at a desk job in 3 to 5 days for most women. Swelling settles substantially over two to three weeks. No cycling, swimming or gym for about four weeks, and sexual activity waits six weeks. Nobody will be able to tell you have had it done.

The procedure removes redundant labial tissue and is planned specifically to avoid the nerves that matter. Most women report no change in sensation, and those with pain during sex caused by the tissue catching usually report improvement. Altered sensation is a recognised risk, and over-resection is the situation most likely to cause lasting discomfort - which is why a conservative first operation is the right approach.

The trim technique removes the protruding edge and closes the cut edge, which gives precise control over the final width but places the scar along the labial border and removes the natural pigmented rim. The wedge technique removes a V-shaped section from the middle and brings the edges together, preserving the natural border and colour, but is technically more demanding. Which suits you depends on your anatomy and what is bothering you.

The safety and effectiveness of energy-based devices for vaginal tightening has not been established, and in July 2018 the US FDA issued a safety communication warning about them. No energy-based device is approved anywhere for vaginal rejuvenation, laxity, menopausal symptoms, incontinence or sexual function, and reported adverse events include vaginal burns, scarring, pain during intercourse and chronic pain. Surgical vaginoplasty is a different thing and is an established procedure. If a clinic offers you laser tightening, ask what regulatory approval that device holds for this specific use.

They are often used as if they mean the same thing and they do not. Vaginoplasty is surgery that physically narrows the vaginal canal and repairs the muscle layer at the opening. "Vaginal tightening" is used to describe both that operation and non-surgical laser or radiofrequency treatments, which are a completely different proposition with a very different evidence base. Ask any clinic which of the two they are actually quoting for.

No, and this is important. Leaking when you cough, laugh, sneeze or exercise is stress urinary incontinence, and a bulge or heaviness in the vagina is prolapse. Neither is treated by cosmetic vaginoplasty. Both have their own well-established treatments and are managed by gynaecologists and urogynaecologists, and pelvic floor physiotherapy is genuinely effective for many mild to moderate cases. Any clinic offering you cosmetic surgery for these symptoms has not assessed you properly.

Roughly Rs 65,000 to Rs 95,000 for vaginoplasty alone and Rs 85,000 to Rs 1,20,000 combined with perineoplasty, which is how it is usually done after childbirth. Get the quote itemised and confirm whether perineal repair is included.

At least six to twelve months, and longer if you are breastfeeding or planning another pregnancy. Tissue continues to remodel for months after a vaginal delivery, and pelvic floor physiotherapy during that time improves the baseline. Operating too early means paying for a result that will change on its own anyway.

No. This is settled medically. The hymen varies enormously between women - some are born with very little of it and some with none. It can stretch or tear during exercise, cycling, tampon use or a fall, and many women feel nothing and do not bleed at first intercourse. A significant proportion of women who have never had sex have no intact hymen. No examination of the hymen can establish whether a woman has had sex, which is why virginity testing has no medical validity and has been rejected by India's courts.

It reconstructs the hymenal ring by bringing the remaining tissue back together with fine dissolvable sutures, or by raising a small flap of vaginal lining where little tissue remains. It takes 30 to 45 minutes under local anaesthesia and heals over six to eight weeks. What it does not do is guarantee bleeding - no surgeon can promise that, because bleeding at first intercourse is not universal even in women who have never had sex.

Typically Rs 30,000 to Rs 40,000 for a simple repair and Rs 40,000 to Rs 55,000 for a flap reconstruction, which is more durable where little tissue remains. It is not covered by insurance.

Your consultation and your records are confidential. Nothing is discussed with family members and nobody is contacted without your written permission. You will also be seen alone for part of the consultation as a matter of routine - partly for privacy, and partly so that if you are being pressured into this by anyone, there is a moment where you can say so.

Please say so at the consultation. Nobody is obliged to have this operation to be believed, to be safe or to be married, and deciding against it is a complete and normal outcome. If you are being coerced - into surgery, into a marriage, or by a threat of what happens if you refuse - that changes what help can be offered you and it changes nothing about how you are treated here.

Healing takes six to eight weeks, so plan backwards from the date with a margin. Booking too close to a date is the most common mistake and it is avoidable.

Reduction of the mons pubis - the fatty pad over the pubic bone - where it is prominent enough to show through clothing or to hang after weight loss. It is done with liposuction alone where skin elasticity is good, or with skin excision where it is not. It is often combined with a tummy tuck, because treating the abdomen and leaving the mons untreated produces a visible step.

Yes, and it usually costs less than having them separately because theatre and anaesthesia are paid for once. Labiaplasty with clitoral hood reduction is almost always done together. Vaginoplasty with perineoplasty is the standard post-childbirth combination. Monsplasty combines naturally with a tummy tuck or a mommy makeover.

Generally not. Insurers classify these procedures as cosmetic and exclude them. The narrow exceptions are where surgery treats a documented medical problem, such as excision of a lesion sent for histopathology, or repair of an obstetric injury causing genuine functional difficulty. Hymenoplasty, labiaplasty for appearance and vaginal tightening are not covered by any policy.

It depends on the problem rather than the label. A gynaecologist or urogynaecologist is better placed for anything internal - prolapse, incontinence, pelvic pain, recurrent infection. A plastic surgeon is better placed for external tissue - labiaplasty, labia majora work, clitoral hood reduction, monsplasty, scar revision - because soft-tissue technique and scar quality are core plastic surgery training. Where the two overlap, the sensible approach is an examination that rules out prolapse first.

Yes. A female attendant is present at every examination, and you will be told what is being examined and why before it happens. You can stop at any point.

Labiaplasty, labia majora surgery, clitoral hood reduction, monsplasty and hymenoplasty are all unaffected by future pregnancy in any meaningful way. Vaginoplasty is different - a subsequent vaginal delivery will undo much of it, so if you are planning more children it is usually worth waiting.

Come back and be seen. Minor asymmetry and residual tissue are usually correctable with a small revision once everything has settled at three to six months. The one situation that is genuinely difficult is over-resection in labiaplasty, where too much tissue was removed - which cannot be undone and is the reason a conservative first operation matters. Bring your operative notes if the original surgery was done elsewhere.