How it works
Everything begins with an in-person examination and consultation with the specialist surgeon who will perform your procedure. The surgeon assesses your overall health, the condition of the vagina and vulva, and any other medical conditions, so the two of you can decide together whether this procedure is right for you.
Before surgery, you will have a few routine tests and a separate review with the anaesthetist. You will need to stop any medicines containing Aspirin for 10 days before surgery and fast for 6 hours beforehand. You are usually given local anaesthesia, with or without sedation (medicine to help you relax); in some cases spinal anaesthesia or general anaesthesia is used.
There are several different techniques, but the general principle is to remove some of the lining of the vaginal wall and tighten the underlying muscle, so the vaginal wall becomes narrower and firmer. The surgery usually takes about 1 hour.
If you have enlarged inner labia (inner lips that are larger than usual), the surgeon may reduce them during the same procedure. Your surgeon will discuss this clearly with you before going ahead.