Female genital cosmetic surgery · London
Vaginoplasty, labiaplasty and hymenoplasty, handled with care.
Three distinct procedures that are often confused. Explained honestly, offered with a named consultant, an unhurried consultation, and, for hymenoplasty, a safeguarding assessment aligned with RCOG and RCS guidance.
Why patients choose us
- 01
A named consultant, quiet consulting rooms
Female genital cosmetic surgery is intimate. You see one BAAPS, BAPRAS or BSGE consultant across every visit, in a private room, at a pace that suits you.
- 02
Ethics and safeguarding, taken seriously
For hymenoplasty in particular, we follow RCOG and RCS guidance: a private one to one conversation, a coercion screen, and a reflection period before any surgery is booked.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial. If surgery is not the right answer, we will say so.
Indicative pricing
What private FGCS costs in London.
Indicative day case ranges across our London panel. We confirm firm figures, inclusive where possible, after your consultation.
In short
Labiaplasty £3,500–£5,500 · Vaginoplasty £6,500–£11,000 · Hymenoplasty £2,400–£4,500
| Procedure | Indicative range | Typical duration | Setting |
|---|---|---|---|
| Labiaplasty (edge, wedge or composite) | £3,500–£5,500 | 45–90 min | Day case |
| Vaginoplasty (posterior colporrhaphy + perineoplasty) | £6,500–£11,000 | 1–2 hours | Day case |
| Combined labia and vaginoplasty | £8,500–£14,000 | 1.5–2.5 hours | Day case |
| Hymenoplasty (following ethics assessment) | £2,400–£4,500 | 30–60 min | Day case |
| Consultation with FGCS consultant | £220–£350 | 45 min | Same visit |
| Psychology assessment (where indicated) | £180–£280 | 50 min | Same visit |
Fees vary by consultant, hospital and complexity, and by whether anaesthesia is local with sedation or general. Cosmetic FGCS is not usually covered by private insurance. Reconstruction after childbirth injury sometimes is.
The problem
Intimate surgery deserves an unhurried conversation.
A brief consultation, glossy brochures and a same week surgery date are the wrong model for FGCS. So is a clinic that will not have an honest conversation about hymenoplasty. We do neither.
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Confused between the three?
Vaginoplasty, labiaplasty and hymenoplasty are often mixed up. We map your concerns to the right procedure, or the right non surgical option.
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Worried about being talked into it?
Cosmetic surgery marketing can be pushy. Our consultants are salaried, not commission based, and a two week reflection period is standard.
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Asking about hymenoplasty?
It is a lawful procedure in the UK but ethically complex. We follow RCOG and RCS guidance carefully, and will not proceed if we have any concern about coercion.
The journey
From first message to follow up, at your pace.
One consultant, one anaesthetist, one small nursing team. The same faces across your consultation, surgery and follow up.
Phase 1 · Before your surgery
Consultation and reflection
Phase 2 · On the day
Day case admission
Phase 3 · After
Recovery and review
- 01
Before
A confidential first message
A short, private form. What is bothering you, how long for, and what outcome you are hoping for. Read only by our clinical team.
- 02
Before
We match a consultant
Within one working day we suggest one or two consultants whose training and case mix fit your concern. Indicative fees for each.
- 03
Before
A face to face consultation
A calm, unhurried consultation with examination if you consent. A written plan, realistic outcomes, and any alternatives to surgery discussed openly.
- 04
Before
A reflection period
Standard practice for cosmetic and hymenoplasty procedures. Time to consider, ask questions and, where appropriate, meet a psychologist.
- 05
On the day
Admission and anaesthetic
Day case admission. Labiaplasty and hymenoplasty may be done under local with sedation, vaginoplasty under general anaesthetic.
- 06
On the day
The procedure
Between 30 minutes and two hours depending on which surgery. Dissolvable sutures throughout, minimal external dressings.
- 07
After
Aftercare and follow up
Written aftercare, a 24 hour contact number, and follow up at two and six weeks. Photographs kept only with your written consent.
Consultation to surgery: 2–6 weeks. Return to work: 1–2 weeks. Full internal healing: 3 months.
When it helps
When FGCS is the right step, and when it is not.
The concerns we hear most often, and the situations where surgery is not the right answer and we will say so clearly.
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Labial enlargement or asymmetry
Labia minora that catch on clothing, chafe during exercise, or cause discomfort during sex. Labiaplasty by edge or wedge technique.
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Post partum vaginal laxity
A sense of looseness after vaginal delivery. Vaginoplasty tightens the posterior wall and repairs the perineum in one operation.
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Reconstruction after trauma or surgery
Reconstruction after obstetric injury, prior surgery or scarring. Planned with a specialist urogynaecologist alongside the plastic team.
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Aesthetic concerns causing distress
Longstanding worry about appearance that is affecting confidence, intimacy or clothing choice. Discussed without judgement.
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Hymen reconstruction: after childbirth
Requests to restore hymenal anatomy after vaginal delivery. Managed with an open conversation about expectations and outcomes.
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Hymen reconstruction: personal choice
Occasionally requested for personal reasons. Only offered after a private safeguarding conversation and a reflection period.
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When we will not proceed
If a woman feels pressured by family, partner or community, we will not book surgery. We can refer to specialist FGC and safeguarding services confidentially.
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Red flags: pain, bleeding, prolapse
Deep pain, abnormal bleeding, or a bulge suggests a gynaecological problem, not a cosmetic one. That needs a gynaecology referral first.
Procedure options
FGCS is a family of techniques.
What each option actually involves. Not every concern needs surgery, and non surgical alternatives are always on the table first.
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Labiaplasty: edge technique
A trim along the free edge of the labia minora. Straightforward, predictable, but loses the natural pigmented edge. Best for uniform enlargement.
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Labiaplasty: wedge technique
A V shaped wedge removed from the middle, preserving the natural darker edge. Better cosmetic result, slightly higher risk of dehiscence.
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Composite reduction
Combines edge and wedge in more complex cases, including reduction of the clitoral hood if it is genuinely asymmetric. Motakef classification guides the choice.
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Posterior colporrhaphy
Vaginoplasty for tightening. The posterior vaginal wall is narrowed and the perineal body rebuilt through a small incision, closed with dissolvable sutures.
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Perineoplasty
Reconstruction of the perineum, often combined with vaginoplasty. Addresses a widened or scarred perineum following childbirth.
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Hymenoplasty
A small purse string suture brings the hymenal remnants together. Sutures dissolve at two weeks. Bleeding on future penetration cannot be guaranteed.
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Not the same as gender affirming vaginoplasty
Gender affirming vaginoplasty is a separate specialist pathway with different techniques and a different consent process. We can point you to NHS and private options.
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Non surgical alternatives
Pelvic floor physiotherapy, Emsella, vaginal laser, and topical oestrogen for menopausal changes. Often the first step before considering surgery.
Our vetted London network
A small panel of FGCS consultants, we picked them.
Cadogan Clinic, London Bridge Cosmetic Surgery, HCA The Wellington, King Edward VII's, Cranley Clinic and other BAAPS, BAPRAS and BSGE registered practices. Some in our network decline hymenoplasty on ethical grounds and we tell you upfront.
Selection criteria
How we choose every consultant in our network.
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BAAPS, BAPRAS or BSGE registered consultants with a dedicated FGCS practice
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Consulting rooms and theatres that meet CQC standards for intimate surgery
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A written safeguarding policy for hymenoplasty, aligned with RCOG and RCS guidance
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Psychology, pelvic floor physiotherapy and FGC referral pathways available in house
Safety, ethics and recovery
The honest conversation, in one place.
FGCS is generally well tolerated. What matters is a slow consent process, realistic outcomes, and a careful ethics conversation where hymenoplasty is involved.
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Autonomy and consent
A private one to one conversation, without partners or family in the room, is standard for every FGCS consultation. Consent must be freely given and can be withdrawn at any point.
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Coercion screening
For hymenoplasty especially, we ask direct questions about pressure from family, partner or community. Concerns are escalated with your consent to specialist services.
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Bleeding and infection
Uncommon but real. A raised temperature, offensive discharge, or fresh bleeding needs a same day call to the unit or A and E attendance.
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Altered sensation and scarring
Numbness, hypersensitivity or a small scar are possible. Most settle within six to twelve months. Over resection is difficult to reverse and is the reason we prefer conservative surgery.
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Dyspareunia
Discomfort during penetrative sex can occur temporarily as tissues heal, and rarely in the longer term. We discuss this in detail before you consent.
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No penetrative sex for four to six weeks
Standard after all three procedures. No tampons or menstrual cups either. Gentle showers rather than baths, loose cotton underwear, and no swimming for two weeks.
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Realistic outcomes
Labiaplasty patient satisfaction is 90 to 95 per cent. Vaginoplasty is 70 to 85 per cent for the sensation of tightness. Hymenoplasty success is subjective, and bleeding on penetration is never guaranteed.
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Psychological support
A short course of counselling before or after surgery is helpful for many patients. Included as an option in every treatment plan.
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Revision surgery
A small proportion of patients ask for revision, most often after labiaplasty. Planned at least six months after the first operation, once healing is complete.
Your consultation notes
Your notes in four parts.
Whichever procedure you decide on, your written notes keep to the same shape. You take a copy home.
A quiet reminder
You can change your mind at any point, right up to the moment you are wheeled to theatre.
No deposit, fee or booking form removes your right to withdraw consent. This is written into your care plan.
- 01 History
Your story, in your own words
What has been bothering you, how long for, and what you hope surgery might change. Recorded in your own language, not clinical shorthand.
- 02 Assessment
Examination and Motakef classification
A gentle examination with a chaperone, only with your consent. For labiaplasty, the labia are graded by the Motakef classification to guide technique.
- 03 Plan
Recommended surgery and alternatives
The suggested procedure, why, and every non surgical alternative that could reasonably be tried first. Written down for you to take away.
- 04 Safeguarding
Reflection period and follow up
A minimum two week reflection period between consultation and surgery. For hymenoplasty, a formal safeguarding note is kept in your records.
A private line
When you are ready, we are here. Confidentially.
Every message is read only by our clinical team. If you would like to speak to a female clinician, please say so and we will arrange it. If you are worried you may be being pressured into surgery, tell us. We can help without booking anything at all.
Recognised by major UK insurers
Cosmetic FGCS is not usually covered by private insurance. Reconstruction after obstetric injury sometimes is. We confirm cover before booking.
Frequently asked
Everything we get asked about FGCS.
Honest answers on the difference between the three procedures, on ethics, on cost, and on recovery.
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What is the difference between vaginoplasty, labiaplasty and hymenoplasty?
They sound similar and are often confused. Labiaplasty reshapes the labia minora on the outside. Vaginoplasty tightens the vaginal canal from the inside, usually after childbirth. Hymenoplasty is a small operation to bring the remnants of the hymen back together. They are three distinct procedures with different techniques, recovery times and reasons for being done.
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Is this the same as gender affirming vaginoplasty?
No. The vaginoplasty on this page is a cosmetic and reconstructive procedure to tighten the vaginal canal, most often after vaginal delivery. Gender affirming vaginoplasty is a separate specialist operation to construct a neovagina, done through a different NHS or private pathway. We are happy to point you to the right team if that is what you are looking for.
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Why is hymenoplasty ethically controversial?
Because the reasons for wanting the operation vary widely. Some women request it after childbirth, some for personal reasons, and some feel pressured by family, partner or community. UK medical Royal Colleges, including the RCOG and RCS, have raised concern about coercion and have issued guidance encouraging clinicians to assess motivation carefully. Some clinics decline to perform it altogether. We only proceed after a private one to one conversation, a safeguarding assessment, and a reflection period.
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Will hymenoplasty guarantee bleeding on my wedding night?
No, and any clinician who promises this is not being honest with you. Healing after hymenoplasty is variable. Some women bleed on first penetration afterwards, many do not. If the reason for asking is fear of what a partner or family might do, please tell us. There are safer routes than surgery and we can help you find them, in complete confidence.
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How much does private FGCS cost in London?
Labiaplasty is £3,500 to £5,500. Vaginoplasty is £6,500 to £11,000. A combined labia and vaginoplasty runs £8,500 to £14,000. Hymenoplasty is £2,400 to £4,500, following the ethics and safeguarding assessment. Consultation is £220 to £350. All quoted as inclusive day case fees where possible.
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How long is the recovery?
Plan for two weeks off work for vaginoplasty, one to two weeks for labiaplasty, and a few days for hymenoplasty. No penetrative sex, tampons or menstrual cups for four to six weeks after any of the three. Gentle showers rather than baths, loose cotton underwear, and no swimming or gym work for two weeks. Full internal healing takes around three months.
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