Vaginoplasty is a surgical procedure which decreases the diameter of the vaginal “tube” by removing a strip of vaginal tissue from the anterior side (top or bladder side) of the vagina and from the posterior side (bottom or rectal side) of the vagina. The underlying muscular tissue is plicated together to add strength to the vagina and add support to the bladder and rectum. The outer vagina and perineum (area between the vaginal and anal opening) is also tightened.

This procedure has been performed by gynecologists for many years for treatment of pelvic prolapse (to treat a “falling” or prolapsed bladder, or a protruding or prolapsed rectum) and is also known as an “anterior and posterior repair” or “colporraphy”. For this reason the risks, benefits and long term outcomes of this procedure have been very well studied in the medical literature. There are no long term studies showing that vaginoplasty improves sexual function, although some doctors do make this claim. We have worked with many patients who claim to experience improvement in sexual function after vaginoplasty which they feel is because of increased friction. If you are considering vaginoplasty for the purpose in improving sexual function, Dr. Hardwick-Smith will discuss the existing data with you in detail and help you to make the right decision for you.

For some patients vaginoplasty is medically necessary and is covered by insurance, for example if there is a symptomatic cystocele (prolapsed bladder) or rectocele (prolapsed rectum). For patients who do not have any medical complaints but simply want their vagina to be tighter, it is generally considered by insurance companies to be a cosmetic procedure. Surgical fees vary between patients and are based on operative time. In general the total cost for this procedure including OR and anesthesia fees is in the $6000-8000 range. After your exam and consultation we will be able to give you a more accurate quote based on your unique needs.