Skip to main content

Gynaecology · London

Private vaginoplasty and hymenoplasty in London by a consultant gynaecologist.

Vaginoplasty, hymenoplasty, labiaplasty and perineoplasty - by a named consultant, on the RCOG ethical framework, with a written cooling-off period before any date is booked.

A radiographer guides a patient onto the bed of an advanced 3 Tesla MRI scanner in a London imaging suite

Indicative pricing

What private vaginoplasty and hymenoplasty cost in London.

Indicative ranges across UK private providers.

In short

£6,000–£9,000, home in one night.

Procedure Indicative range
Vaginoplasty (tightening / reconstruction) £6,000–£9,000
Hymenoplasty (hymen repair) £2,500–£4,500
Labiaplasty £3,500–£5,500
Perineoplasty £3,000–£5,000
Combined vaginoplasty + perineoplasty £7,500–£11,000
Consultation only £250–£450

Prices vary by clinic, by the surgeon, by the technique chosen and by whether procedures are combined. Most UK private medical insurers do not cover cosmetic female genital surgery - these operations are almost always self-funded.

The problem

The right consultant, the right technique, the right decision on whether to operate at all.

Female genital cosmetic surgery is one of the areas where the honest answer is sometimes: don’t. We work under the RCOG framework, and we say so early.

  • Not sure surgery is the answer yet?

    Pelvic-floor physio, topical oestrogen, laser or radiofrequency may fit better than an operation. We say so before you commit.

  • Worried about being talked into it?

    A written cooling-off period is mandatory. Nothing is booked on the day of consultation, and psychological review is offered where indicated.

When it helps

When vaginoplasty or hymenoplasty is the right step.

The situations we see most, plus the one red flag that means we pause the pathway - no surgery, no date, until it is resolved.

  • Post-obstetric laxity affecting function

    Vaginal laxity after childbirth that affects sensation, sexual function or self-image despite pelvic-floor rehabilitation.

  • Congenital anomaly of the vulva or vagina

    Congenital differences - vaginal septum, MRKH-related reconstruction, or structural anomalies picked up in adolescence.

  • Gender-affirming reconstruction referral

    Vaginoplasty as part of gender-affirming surgery follows a specific NHS or private pathway with multidisciplinary assessment - we can signpost the right service.

  • Cultural or personal request for hymenoplasty

    Requests for hymen repair are handled privately, without judgement, with the RCOG ethical framework and a firm check for coercion before any date is offered.

  • Labial asymmetry causing discomfort

    Labia minora that catch in clothing, exercise or intercourse, or a marked asymmetry that has become a functional issue.

  • Post-menopausal atrophy considerations

    Where vaginal atrophy is the main issue, topical oestrogen, moisturisers and laser or radiofrequency may be tried before considering surgery.

  • Prior FGM - reversal (defibulation)

    Defibulation for previous female genital mutilation, delivered by a safeguarding-aware consultant, with appropriate psychological and social support.

  • Red flag: coercion or safeguarding concern

    If there is any hint of coercion, control or safeguarding risk, we pause the pathway and refer for support - no surgery is booked.

Procedure options

Not all of these are the same operation.

What each procedure actually involves - and which fits which indication, which patient and which set of expectations.

  • Vaginoplasty - anterior, posterior or combined

    Surgical tightening or reconstruction of the vaginal walls. Anterior, posterior or combined repair, tailored to where the laxity or defect actually is.

  • Hymenoplasty - short-term or long-term repair

    Two approaches: a short-term repair intended to hold for a defined event, or a longer-term reconstruction. The distinction is discussed openly at consent.

  • Labiaplasty - trim or wedge

    Reduction of labia minora by the trim (edge) or wedge (V-shape) technique. Wedge preserves the natural edge; trim is quicker but changes the border.

  • Perineoplasty

    Repair and reshaping of the perineum after childbirth or previous tears. Often combined with posterior vaginoplasty when both are indicated.

  • Clitoral hood reduction

    Reduction of excess clitoral hood tissue, typically alongside labiaplasty for a balanced result. Not a routine standalone request.

  • Defibulation for FGM

    Surgical reversal of type III FGM, done by a consultant with safeguarding training, with psychological and social support integrated into the pathway.

  • Gender-affirming vaginoplasty referral

    A specialist pathway - NHS Gender Dysphoria Clinics or a small number of private multidisciplinary services. We signpost rather than book directly.

  • Non-surgical alternatives

    Vaginal laser, radiofrequency and structured pelvic-floor physiotherapy are worth trying first for many patients - sometimes surgery is not the right step.

Safety and recovery

What to expect afterwards - honestly.

These are established operations in the right hands. The things worth planning are the six-week rules, the risk of altered sensation, and the honest conversation about expectations that the RCOG framework demands.

  • General or regional anaesthetic

    Vaginoplasty is usually under general anaesthetic; smaller day-case procedures may be done under regional or heavy local. Anaesthetic review is part of the pre-op.

  • Bleeding and haematoma

    Bleeding into the tissue or a haematoma is uncommon but recognised - occasionally needs evacuation. The team briefs you on the warning signs before discharge.

  • Infection

    Wound or urinary infection in a small percentage of cases, reduced by peri-operative antibiotics, hygiene advice and a clear post-op contact number.

  • Wound dehiscence

    Separation of the wound edges - most often from early activity or straining - is the reason for the six-week rules on lifting, exercise and sex.

  • Altered sensation and dyspareunia

    Numbness, hypersensitivity or painful intercourse are the outcomes patients most fear. They are usually temporary but can persist and are discussed openly at consent.

  • Unrealistic-expectations regret

    The commonest cause of regret is unmet expectations, not surgical error. The RCOG framework insists on realistic expectations and psychological review where indicated.

  • Scarring

    All surgery leaves scars. The quality of the scar depends on technique, tissue and aftercare - most heal well but some patients form hypertrophic or keloid scars.

  • Venous thromboembolism (VTE)

    Clot risk is low for these operations but not zero - reduced by prophylactic stockings, heparin where appropriate and early mobilisation.

  • Red flags after discharge

    Heavy fresh bleeding, fever, severe or worsening pain, a hot swollen calf, breathlessness, or a wound that becomes red and hot - call the ward or A&E the same day.

Reading your operation note

Your operation note in four parts. Read the last one first.

Whichever procedure was done, the note the consultant sends you keeps to the same shape.

A UK consultant reviewing a patient’s operation notes

A quiet reminder

Surgical language is precise and can read coldly - we translate it for you.

If you would like us to talk you through the note before your review, just ask.

  1. 01 Header

    Indication and consent process

    Why surgery was requested and offered, what was discussed at consent, and any psychological review or cooling-off period that fed into the decision.

  2. 02 Technique

    Anaesthetic and technique used

    The anaesthetic used, and the exact technique - anterior/posterior vaginoplasty, trim vs wedge labiaplasty, short-term vs longer-term hymenoplasty, perineoplasty.

  3. 03 Findings

    Intra-operative findings

    What the surgeon actually saw at operation - tissue quality, scarring from previous surgery or childbirth, and anything that changed the plan on the table.

  4. 04 Impression

    Recovery, six-week rules, review timing

    Read this first: expected recovery, wound care, pelvic-floor guidance, when it is safe to return to sex, driving and exercise, and when to be reviewed.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Most UK private medical insurers do not cover cosmetic vaginoplasty, hymenoplasty or labiaplasty - these operations are almost always self-funded. Reconstructive indications after obstetric injury, oncology or FGM can sometimes be considered by an insurer, and we help you check before booking.

Frequently asked

Everything we get asked about vaginoplasty and hymenoplasty.

Quick answers on what these operations involve, the RCOG framework, recovery, risks and cost.

  • What is vaginoplasty and who is it for?

    Vaginoplasty is a surgical operation to tighten or reconstruct the vaginal walls. It is considered for post-obstetric laxity affecting sexual function, congenital anomalies, reconstruction after FGM or oncological surgery, and as part of gender-affirming surgery via a specialist pathway. It is not funded on the NHS for purely cosmetic reasons.

  • What is the difference between vaginoplasty, hymenoplasty and labiaplasty?

    Vaginoplasty tightens or reconstructs the vaginal canal. Hymenoplasty is a small operation to repair or reconstruct the hymen - either for a defined short-term purpose or as a longer-term repair. Labiaplasty reshapes the labia minora, usually because they catch in clothing, sport or intercourse. They are separate operations with separate indications, recoveries and risks.

  • What is the RCOG ethical position on this surgery?

    The Royal College of Obstetricians and Gynaecologists has published an ethical opinion paper on female genital cosmetic surgery. It expects genuine informed consent, no coercion, realistic expectations, a cooling-off period, and psychological review where indicated.

  • What is the recovery, and what about sexual function?

    Vaginoplasty is typically one night in hospital. No sex, tampons, cycling, running or heavy lifting for six weeks. Most patients are back to office work at two weeks. Hymenoplasty, labiaplasty and perineoplasty are day cases with the same six-week rules on sex and heavy activity. Sensation and comfort during intercourse often improve, but numbness, hypersensitivity or dyspareunia are recognised risks discussed openly at consent.

  • What are the risks I should actually plan around?

    The ones worth planning around are bleeding or haematoma, infection, wound dehiscence, altered sensation, painful intercourse, scarring, VTE, and - most commonly - regret from unmet expectations. The RCOG framework and a proper consent conversation are the main defence against the last one.

  • How much does private vaginoplasty and hymenoplasty cost in London?

    Most UK private medical insurers do not cover cosmetic female genital surgery - these are self-funded in almost every case.

Related tests

Looking for something else?