Vaginoplasty - Procedure, Risks, Benefits and Recovery


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Childbirth, ageing, or medical conditions can sometimes lead to changes in the structure or function of the vagina. These changes can impact comfort during intercourse, cause urinary incontinence, and affect self-esteem. Vaginoplasty offers a potential solution for women seeking to restore vaginal function and improve their quality of life.

The vaginoplasty surgery helps in restoring and repairing a woman's vagina according to their needs. This article explores the details of vaginal tightening, its benefits, risks, and the recovery process.

Procedure Name


Alternative Name

Surgical vaginal tightening

Conditions Treated

  1. Vaginal injuries

  2. Congenital anomalies

Benefits of Procedure

Improved comfort, sexual function, aesthetics

Treated By

OB-GYN or Plastic Surgeon

You can check Vaginoplasty Cost here.

What is vaginoplasty?

Vaginoplasty, or surgical vaginal tightening, is a surgery to modify the structure or function of the vagina. It addresses various concerns affecting vaginal health and well-being, like childbirth, vaginal elasticity or congenital abnormalities.

The vaginoplasty surgery can improve comfort during intercourse, address urinary incontinence, and enhance sexual function.

Anatomy And Physiology

In the context of vaginoplasty, it's crucial to understand the normal anatomy of the vagina. It plays a pivotal role in sexual pleasure. It contains nerve endings that respond to stimulation.

  1. Muscular Canal: The vagina is a muscular, fibromuscular tube connecting the uterus to the vulva (external genitalia).

  2. Elasticity: The walls of the vagina are lined with a mucous membrane containing elastic tissue. This allows for expansion during intercourse and childbirth.

  3. Microbiome: The vagina has a healthy balance of bacteria, which helps maintain a slightly acidic environment and protects against infections.

Who needs vaginoplasty

Vaginoplasty addresses a variety of concerns affecting the structure and function of the vagina. However, this procedure is not for everyone. There are certain reasons why someone should opt for the treatment:

  1. Vaginal Laxity: Scarring from childbirth, injury, or specific medical procedures can cause the vagina to lose its tightness. This can cause discomfort during intercourse and difficulty maintaining sexual satisfaction.

  2. Urinary Incontinence: Weakened pelvic floor muscles, often a consequence of childbirth, can contribute to urinary incontinence. Vaginoplasty can help tighten these muscles and improve bladder control.

  3. Gender Confirmation Surgery: For transgender women, vaginoplasty creates a functional vagina that aligns with their gender identity.

  4. Congenital Abnormalities: Some women are born with abnormalities in the vaginal structure, such as a septate vagina (a partial or complete division within the vagina) or vaginal agenesis (absence of a vagina). Vaginoplasty surgery can correct these conditions and create a functional vagina.

Consult a board-certified OB-GYN or plastic surgeon to determine the ideal candidate for vaginoplasty.

Benefits of Vaginoplasty

Vaginoplasty surgery offers a variety of improvements to address concerns related to the structure and function of the vagina. Here are some key benefits women may experience after undergoing this procedure:

  1. Improved Sexual Function: Vaginoplasty can help restore or enhance sexual satisfaction by addressing issues like vaginal looseness or tightness.

  2. Reduced Discomfort: The procedure can alleviate pain during intercourse caused by structural abnormalities.

  3. Boosted Confidence: Vaginoplasty can address aesthetic concerns or congenital disabilities, increasing self-esteem and body confidence.

Expert Doctors

Dr. Sowjanya Aggarwal

Infertility and IVF, Obstetrics And Genecology

19+ Years




Dr. Shipra Gupta

Obstetrics And Gynaecology

25+ Years




NABH Accredited Hospitals

Akanksha IVF Centre, Janakpuri

Akanksha IVF Centre, Janakpuri

4.94/5(80 Ratings)
Janakpuri, Delhi
Alpine Hospital

Alpine Hospital

4.91/5(91 Ratings)
Sector 15, Gurgaon
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Before and On the Day of Vaginoplasty

Thorough preparation for the surgery will ensure a smooth experience. The following are some of the crucial things to consider. 

Before Vaginoplasty

One must evaluate and understand a few things before going for the surgery. Below is a table for all the important things to be aware of before the surgery:



Pre-op Assessments

  1. Physical exam 
  2. Blood tests

Risk Evaluation 

1. Infection
2. Risk vs Benefits


General anaesthesia

Preparation Instructions 

1. Stop medications like NSAIDs and oestrogen supplements

2. Follow fasting for 8-12 hours beforehand

On the Day of Vaginoplasty

Arriving on time and getting admitted are not the only things to be done on the day of surgery. Take a look at some of the other crucial things to do before going in for the surgery:





Surgical Preparation 

Changing into a surgical gown 

Physical Evaluation 

Vital signs check (blood pressure, heart rate, temperature, and oxygen levels)

IV Line 


Patient Position 

Supine (lying on the back with face up)  with legs elevated using stirrups

Vaginoplasty Procedure

The duration of vaginoplasty can vary from 1-3 hours, depending on the complexity of the procedure. The details of the procedure may differ based on the desired outcome. The following are the general steps involved:

  1. Patient Preparation: The patient will be positioned on the operating table, lying on their back with legs elevated using stirrups.

  2. Anaesthesia: General anaesthesia is administered to ensure comfort and relaxation throughout the procedure.

  3. Surgical Site Preparation: To mitigate the risk of infection, the surgical area, including the vulva and surrounding skin, will be properly cleaned and sterilised. A sterile drape will be placed to isolate the surgical area.

  4. Monitoring: Throughout the surgery, the patient's vital signs, such as heart rate, oxygen levels, and blood pressure, will be closely monitored to ensure safety.

Types of Vaginoplasty: There are two widely acclaimed types of vaginoplasty based on their approaches. The common approaches include:

  1. Laser Vaginoplasty (Minimally Invasive)

    Laser vaginoplasty uses a laser to tighten vaginal tissues. The procedure is typically performed in an outpatient setting with minimal incisions. The laser beam delivers targeted thermal energy, stimulating collagen production and potentially improving mild laxity.
  1. Open Vaginoplasty (Traditional)

    Open vaginoplasty involves surgical incisions to address various concerns. The surgeon may remove excess tissue, reposition muscles, or repair structural abnormalities. This approach offers more extensive correction for significant looseness, tightness, or anatomical problems. It's performed in a hospital setting.

After Surgery and Recovery

The recovery period for vaginoplasty is 5-7 weeks, and it includes following the doctor’s advice and leading a healthy lifestyle. Below are the recovery phases of vaginoplasty and what should be done for speedy rehabilitation. 

In the Hospital:

Before getting discharged, the patient's condition will be constantly monitored based on the effects of anaesthesia, vitals, and pain. If everything is satisfactory, the doctor may recommend same-day discharge. 

At Home:

Following the doctor's instructions carefully at home is crucial for a smooth recovery after vaginoplasty. 

  1. Follow a liquid diet in the initial weeks.

  2. Proper wound care, including dressing changes as instructed.

  3. Pelvic floor exercises or physiotherapy may be recommended for healing and function.

  4. Medication regimens for pain management, infection prevention, and healing will be taken as instructed.

  5. Restrictions on work, exercise, and sexual activity for 4-5 weeks or as advised by the doctor.

First Follow-Up Appointment:

It is important to pay attention to the follow-up appointment, which gives an idea regarding the current condition. 

  1. It is typically scheduled within 1-2 weeks after surgery.

  2. The doctor removes sutures (if applicable), examines the healing, and addresses any concerns.

  3. Follow-up care instructions and schedules are provided based on the examination.

Risks And Complications of Vaginoplasty

Vaginoplasty is a well-adopted surgical technique for vaginal reconstruction and repair. However, like any medical procedure, it's not without potential risks. 

  1. Infection and Bleeding: As with any surgery, there's a risk of infection or excessive bleeding.

  2. Vaginal Narrowing: In some cases, the vagina may become too narrow (stenosis) after surgery, causing discomfort during intercourse.

  3. Fistulas: Rarely, abnormal connections (fistulas) may form between the vagina and the urinary tract (vesicovaginal fistula) or rectum (rectovaginal fistula).

  4. Nerve Injury: Nervous damage near the surgical site can occur, potentially affecting sexual sensation.

  5. Unsatisfactory Outcome: There's a possibility of being dissatisfied with the cosmetic or functional results of the surgery.

Cost of Vaginoplasty in India

Vaginoplasty can offer various benefits, but it's essential to consider the cost before moving forward. The following table provides an overview of estimated expenses to give patients a better idea: 


Estimated Cost







Remember, the exact cost can vary depending on several factors, including:

Surgeon's Experience and Expertise: The surgeon's qualifications and experience performing the vaginoplasty can significantly impact the cost.  More experienced surgeons may command higher fees.

Hospital Fees and Location: The type of facility where the surgery is performed and its location will influence the overall cost.  Procedures in metropolitan areas or high-end facilities may be more expensive.

Type of Vaginoplasty Procedure:  The specific technique used during vaginoplasty (laser vs. open incision) can affect the cost.  Additionally, the complexity of the surgery due to the extent of correction needed will also be a factor.


Vaginoplasty offers a personalised approach to addressing various vaginal concerns. It can improve sexual function, alleviate discomfort, and potentially enhance self-confidence. By understanding the types of procedures, potential benefits, recovery process, and risks involved, you can decide whether vaginoplasty is right for you.

If you're searching for vaginoplasty near me, HexaHealth can be your valuable partner in finding the right specialists. Our platform connects you with a network of qualified surgeons and healthcare facilities specialising in vaginoplasty. With us, you can confidently explore the possibilities of improved vaginal health and well-being.

Frequently Asked Questions (FAQ)

Vaginoplasty is a surgical procedure designed to address various concerns related to the structure or function of the vagina. It can address issues like:

  1. Vaginal laxity

  2. Congenital abnormalities

  3. Appearance concerns


The average vaginoplasty cost is ₹30,000, with a minimum of ₹28,000 and a maximum of ₹45,000. The cost of vaginoplasty varies depending on factors like:

  1. Geographic location

  2. Surgeon's expertise

  3. Complexity of the procedure

  4. Anaesthesia type

  5. Facility fees


Vaginoplasty indeed improves tightness, but the results may vary in different patients. The average patient satisfaction rate after the procedure is 91%. Doctors tailor the procedure to your anatomy and desires. Hence, discussing the scope and expectations with the doctor before proceeding is recommended.


Vaginoplasty can be an effective procedure to improve vaginal function and satisfaction when performed by a qualified surgeon. Like any surgery, it carries potential risks discussed during consultations.


Not everyone is eligible for vaginoplasty. Women experiencing any of the following conditions can opt for the surgery:

  1. Vaginal looseness

  2. Urinary incontinence

  3. Gender confirmation surgery

  4. Congenital abnormalities


Vaginal tightening is a cosmetic process. It focuses just on making the vagina tighter. Vaginoplasty is surgery for broader concerns like laxity, repairs, and possibly urinary control. Tightening targets just tightness, while vaginoplasty is a multi-tasking procedure.


Surgical tightening techniques in vaginoplasty may involve removing excess tissue, tightening muscles, or repositioning supportive tissues. All these procedures are done to manage the vaginal health and well-being. 


Before opting for the surgery, being aware of its benefits is beneficial. Vaginoplasty surgery offers a wide range of benefits, including: 

  1. Improved sexual function and satisfaction

  2. Enhanced urinary control (in some cases)

  3. Increased self-esteem and body confidence


Even though minimal, there are a few complications involved in vaginoplasty. Below are the risks of the surgery:

  1. Infection

  2. Bleeding

  3. Vaginal stenosis (narrowing)

  4. Fistulas (abnormal connections)

  5. Nerve injury

  6. Unsatisfactory outcome


The results of vaginoplasty can be long-lasting but not permanent, as it is a process of vaginal rejuvenation. Factors like childbirth or ageing can influence the vaginal muscles over time.


Non-surgical options like Kegel exercises or laser therapy may be explored for mild laxity concerns. However, they may provide a different level of correction than vaginoplasty.


By addressing looseness or tightness issues, vaginoplasty can potentially improve sexual satisfaction and comfort during intercourse. It is important to discuss the condition with a doctor before anticipating anything.


While some initial improvement may be noticeable, full results regarding tightness and sexual function can take 5-6 weeks to develop. The doctor’s advice is to follow for recovery. 


Vaginoplasty boasts high patient satisfaction rates, around 90%, when done by a qualified surgeon. This indicates successful improvement in function and comfort.


There is no specific age limit, but overall health and risk factors are considered during consultations. Good health is generally advisable for undergoing surgery.


In some cases, vaginoplasty can strengthen pelvic floor muscles, potentially improving mild urinary incontinence. However, it may not be suitable for treating severe incontinence.


Just like any surgery, vaginoplasty also has some precautionary steps to be taken for better rehabilitation. The doctor will advise the patient to abide by the following precautions for a speedy recovery:

  1. Avoid strenuous activity for 4-5 weeks or as recommended by the doctor. 

  2. Maintain wound care and hygiene.

  3. Pelvic floor exercises may be recommended for healing and function.

  4. Refrain from sexual intercourse as advised by your doctor.


Vaginoplasty addresses concerns within the vagina, like looseness or tightness. Labiaplasty focuses on reshaping the external labia (lips) of the vulva.


Being an elective surgery, most insurance companies do not cover vaginoplasty. However, if the surgery is performed to address a medical condition, such as severe injuries or a birth defect, there's a possibility of partial or full coverage.



All the articles on HexaHealth are supported by verified medically-recognized sources such as; peer-reviewed academic research papers, research institutions, and medical journals. Our medical reviewers also check references of the articles to prioritize accuracy and relevance. Refer to our detailed editorial policy for more information.

  1. What Is Vaginoplasty? [Internet]. Cleveland Clinic. [cited 2024 May 6]. link
  2. Thompson L. The Vagina - Structure - Function - Histology - TeachMeAnatomy [Internet]. 2020. link
  3. Taylor RB. Vaginal Plastic Surgery: Vaginoplasty and Labiaplasty Procedures [Internet]. WebMD. link
  4. What Is a Vaginoplasty? [Internet]. Verywell Health. [cited 2024 May 6]. link
  5. Vaginoplasty: Gender Confirmation Surgery Risks and Recovery [Internet]. Healthline. 2017. link
  6. Vaginoplasty Cost in India - Calculate Estimated Cost [Internet]. [cited 2024 May 6]. link
  7. Vaginoplasty for Gender Affirmation [Internet]. 2023. link
  8. Vaginoplasty - Risks and Complications [Internet].
  9. Vaginoplasty procedures, complications and aftercare | Gender Affirming Health Program [Internet]. [cited 2024 May 6].link
  10. Vaginoplasty | Aesthetic Genital Plastic Surgery [Internet]. American Society of Plastic Surgeons. [cited 2024 May 6].link
  11. Vaginal Tightening: How To Tighten Vaginal Walls [Internet]. [cited 2024 May 6].link
  12. Lindsey JTJ, Lee JJ, Phan HTP, Lindsey JTS. Defining the Cervical Line in Face-Lift Surgery: A Three-Dimensional Study of the Cervical and Marginal Mandibular Branches of the Facial Nerve. Plastic and Reconstructive Surgery [Internet]. 2023 Nov 1 [cited 2024 May 6];152(5):977. link
Disclaimer: The information provided here is for educational and learning purposes only. It doesn't cover every medical condition and might not be relevant to your personal situation. This information isn't medical advice, isn't meant for diagnosing any condition, and shouldn't replace talking to a certified medical or healthcare professional.


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HexaHealth Care Team

HexaHealth Care Team brings you medical content covering many important conditions, procedures falling under different medical specialities. The content published is thoroughly reviewed by our panel of qualified doctors for its accuracy and relevance.

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