Female functional and aesthetic genital surgery
Labiaplasty, vulval reshaping, genital fat grafting, and functional and aesthetic genitoplasty. Intimate surgery performed by a reconstructive urologist, where appearance never takes priority over function or sensation.
Comfort, proportion and confidence, guided by surgical expertise
Female functional and aesthetic genital surgery addresses aspects of the vulva that cause physical discomfort —with clothing, exercise or sexual activity— or concerns about appearance. Unlike a purely cosmetic approach, treatment by a reconstructive urologist supported by a multidisciplinary team places anatomy, sensation and function at the centre of every surgical decision. The result should look natural and, above all, feel comfortable.
Labiaplasty (labia minora reduction)
Reduction and reshaping of the labia minora when their size causes chafing, pain, discomfort with clothing or exercise, or concerns about appearance. Techniques are selected to preserve the natural edge and sensation.
Clitoral hood reduction
Reshaping excess clitoral hood tissue, often combined with labiaplasty to achieve balanced proportions while taking particular care to preserve sensation.
Genital fat grafting
Transfer of the patient’s own fat to the labia majora or mons pubis to restore volume and fullness lost through ageing, weight changes or pregnancy.
Vulval reshaping and functional genitoplasty
Correction of asymmetry, changes following childbirth or previous surgery, and comprehensive aesthetic reshaping. Complex cases may require genital reconstruction.
Effects of cancer treatment and radiotherapy
Vulval reshaping and reconstruction for patients affected by cancer surgery or pelvic radiotherapy, coordinated with urology and plastic surgery colleagues to manage particularly delicate tissues.
A urologist remains at the centre of your care. Where appropriate, plastic surgery colleagues are involved as part of a highly experienced multidisciplinary team.
Meet the teamPersonal concerns treated with the seriousness they deserve
Seeking advice about intimate surgery can feel difficult. The entire process is designed to help you feel comfortable, fully informed and never judged.
What patients want to know before making a decision
Clear, honest answers. A definitive treatment recommendation is always made following an individual assessment.
Will labiaplasty affect sensation or sexual activity?
Not when performed using an appropriate technique. Modern techniques preserve the nerve supply and natural edge of the labia. Many patients report greater comfort during sexual activity once chafing and discomfort have been addressed.
Is this purely cosmetic surgery?
Not necessarily. Many patients seek advice because of functional symptoms, including chafing from clothing, pain during exercise or sexual activity, and recurrent irritation. Surgery can address both functional concerns and appearance.
Which anaesthetic is used and how long is recovery?
The procedure is usually performed under local anaesthetic with sedation as day-case surgery, allowing you to return home the same day. As a general guide, normal daily activities can resume within a few days, while sexual activity and exercise usually resume after four to six weeks, depending on the procedure.
Will the result look natural?
That is a central goal. A reconstructive surgeon aims to preserve each patient’s natural anatomy and proportions. The best result is one that does not appear surgically altered.
Why choose a urologist rather than a cosmetic clinic?
Because the vulva involves more than appearance: urinary function, sensation and intimate health must all be considered. Training in reconstructive surgery and sexual medicine (FECSM) helps ensure that aesthetic decisions do not compromise these functions and that any clinical findings are managed appropriately.
Can I have surgery after cancer treatment or pelvic radiotherapy?
Potentially, following a specialist assessment. Tissue affected by radiotherapy or cancer surgery requires a particularly careful approach, often coordinated with plastic surgery colleagues, to achieve a safe and functional result.
Is the process confidential?
Absolutely. From your first message through to follow-up appointments, every stage is managed with strict medical confidentiality.
If you have lived with discomfort for years, you deserve specialist advice
Intimate discomfort should not be dismissed or simply accepted as normal. An honest assessment can establish whether surgery may help and explain the available options.
Message us on WhatsApp
Confidential enquiry. Our team will explain the assessment process and answer your initial questions, with no obligation.