Is Labiaplasty Considered a Gynecological Surgery?
Based on the Ichhori article (February 2023), with evidence-based insights.
What Is Labiaplasty?
Labiaplasty is a surgical procedure that alters the size, shape, or appearance of the labia minora and/or labia majora—parts of the external genitalia (vulva). It is typically categorized under plastic surgery as a vulvoplasty. :contentReference[oaicite:2]{index=2}
Gynecological Perspective
Despite being largely a cosmetic procedure, labiaplasty is sometimes listed among gynecological surgeries—especially when performed for functional or medical reasons like discomfort or how the labia interfere with daily activities. :contentReference[oaicite:3]{index=3}
When Is It Gynecological vs. Cosmetic?
- Medical/Functional Indication: A gynecologist might perform or refer a patient for labiaplasty when the surgery is needed to resolve physical symptoms like irritation, hygiene issues, or pain during activities. :contentReference[oaicite:4]{index=4}
- Cosmetic Motivation: If the goal is aesthetic enhancement, plastic surgeons often perform the procedure, as they specialize in cosmetic alterations. :contentReference[oaicite:5]{index=5}
Considerations and Oversight
The American College of Obstetricians and Gynecologists (ACOG) advises caution when it comes to elective labiaplasty, emphasizing the importance of proper patient counseling and informed consent—particularly when not medically indicated. :contentReference[oaicite:6]{index=6}
Summary Table
| Aspect | Gynecological | Plastic Surgery |
|---|---|---|
| Primary Focus | Promote reproductive/functional health | Cosmetic aesthetics, appearance, form |
| Labiaplasty Role | Performed for functional symptoms (sometimes by OB-GYN) | Performed for aesthetic goals (usually by plastic surgeons) |
| Clinical Oversight | Must include informed consent and screening | May focus more on aesthetic execution |
Why It Matters
Understanding the distinction ensures that patients approach labiaplasty with clarity—whether they seek relief from physical symptoms or aesthetic improvement—under appropriate medical guidance and ethical care.