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Cosmetic Gynaecology

Cosmetic gynaecology in London for labial, vaginal and perineal concerns after childbirth, with age or since adolescence, with labial surgery by consultant plastic surgeons and vaginal and perineal surgery by a consultant gynaecological surgeon. Adults 18+ only.

Comfort and confidence after labiaplasty — labia reduction surgery at Centre for Surgery, Baker Street, London

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Vaginal Cosmetic Surgery in London

Whether the concern is the size or shape of the labia, looseness after childbirth, a damaged perineum or bladder leaks, there is a specific treatment for it, from labiaplasty and clitoral hood reduction to vaginoplasty and perineoplasty.

Cosmetic gynaecology procedures

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Perineoplasty

Perineoplasty rebuilds the strip of tissue below the vaginal opening, removing tight or uneven scarring and restoring support. Choose it if a birth injury left the opening gaping, painful during sex or scarred.

Not sure which of these fits you?

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Which gynaecology procedure is right for you?

A few short questions about what concerns you. You will get a suggested treatment, realistic recovery times, and a clear answer if you should see your GP first.

Types of Cosmetic Gynaecology

Cosmetic gynaecology, also called female genital cosmetic surgery, treats three areas: the outer structures (the labia and clitoral hood), the vaginal canal, and the perineum between the vagina and anus. Concerns can be physical, such as rubbing during exercise, discomfort in clothing or during sex, or looseness after childbirth, and they can be about appearance. Matching the concern to the right treatment:

  • Long, uneven or uncomfortable inner labia: labiaplasty, often combined with clitoral hood reduction where extra hood skin sits above the clitoris.
  • A previous labiaplasty that has not healed well: labiaplasty revision and reconstruction.
  • Lost volume in the outer labia: labia fat transfer using your own fat, or labia puffing with filler.
  • Vaginal looseness after childbirth: vaginoplasty, or IntimaLase laser tightening for milder laxity.
  • A torn, scarred or widened perineum: perineoplasty, frequently combined with vaginoplasty.
  • Bladder leaks, mild prolapse or vaginal dryness: IncontiLase, ProlapLase or RenovaLase Fotona SMOOTH laser treatment, with no incisions or anaesthetic. Significant prolapse or incontinence needs a urogynaecologist rather than a cosmetic procedure.

Our guides to vaginal rejuvenation and vaginal laser treatment compare the surgical and laser options side by side.

Who Performs Cosmetic Gynaecology Surgery?

In the UK, cosmetic gynaecology can legally be performed by doctors without specialist training in the area. Here, labial and clitoral hood surgery is performed by GMC-registered consultant plastic surgeons, and vaginoplasty and perineoplasty by Mr Joe Daniels, Consultant Gynaecological Surgeon. The surgeon who assesses you at consultation is the surgeon who operates. Most labial surgery is carried out under local anaesthetic with sedation and vaginoplasty under TIVA, at our Baker Street hospital, rated Good overall by the Care Quality Commission.

Treatment is for adults aged 18 and over only; our article on the minimum age for labiaplasty explains why. Consultations are discreet and a chaperone is always available. You can see real patient results in our labiaplasty before and after photos, and prices in our labiaplasty cost guide. We recommend a two-week cooling-off period before any surgical procedure.

What our patients say

Centre for Surgery Patient Reviews

01 / 09
  • It took me years and years and many consultations later to finally find the perfect place, and CFS was definitely that place for me. From my initial enquiry I felt completely comfortable. My patient coordinator Carla is one in a million.

    Geri Google review · March 2026
  • I liked that my consultation was at the operating clinic and that I knew where I would be going for surgery, it took some of the fear away. […] I liked that my follow ups were with the same nurses that looked after me on the day of my procedure […]

    Charlie G. Rhinoplasty · Google review · May 2024
  • When I had more questions later on, I was able to book another consultation without any issues, which gave me even more confidence that I was in the best hands.

    Kat S. Google review · June 2026
  • The aftercare nurse that was working looked after me very well and made sure I wasn’t [in] any discomfort. They made sure my wife was ok upstairs as well, which was very important to me.

    Jimi S. Gynecomastia surgery · Google review · February 2026
  • The nursing team at the Centre for Surgery provides an outstanding standard of care. From the pre-assessment to the post-operative follow-ups, they demonstrated absolute professionalism, clinical expertise, and deep knowledge.

    Tiffany F. Google review · July 2026
  • Nikesh, the Senior Patient Coordinator, was approachable, knowledgeable and never made me feel pressured. […] Since then, the aftercare has been outstanding. The nursing team checked in with me every couple of days during my first week of recovery to see how I was healing, answer any questions and ensure everything was progressing as expected.

    Delcina Y. Google review · July 2026
  • Ida carefully explained beforehand what the treatment would involve, the time it would take me to heal and what I could expect during my recovery. I appreciated the follow up from her to check on my progress.

    David W. Laser skin treatment · Google review · June 2025
  • The nursing team, Patricia, Sowmya and Alejandra were very attentive and warm throughout my entire stay. I’ve had follow-up phone calls and I’ve also contacted them on a few occasions; I’m always treated to a high standard, and everything gets sorted promptly.

    Deb S. Google review · May 2026
  • Having now experienced both the original procedure and the follow-up care, what has impressed me most is the standard of care throughout the entire process rather than just on the day of surgery.

    Harry G. Google review · August 2026
4.6 Based on 341 Google reviews · Read every review on Google
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    Welcome to Centre for Surgery | Plastic Surgery Hospital in Marylebone, London

    Patient Library

    Cosmetic gynaecology, explained

    54 articles on labia, labiaplasty and intimate health, written for patients and medically reviewed by Dr Spyridon Vlachos, Specialist Plastic Surgeon.

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    Our surgeons are members of

    • royal college of surgeons
    • International Society of Aesthetic Plastic Surgery
    • European Academy of Facial Plastic Surgery
    • British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS)