What it covers
Surgical procedures
- Labiaplasty — reduction of the inner labia. In the sources this is the most frequently performed female genital aesthetic procedure.
- Clitoral Hood Reduction — reduction of the clitoral hood. It is usually planned together with labiaplasty rather than on its own.
- Vaginoplasty — the aim is not narrowing but repair of the muscles and supporting structures.
- Hymenoplasty — hymen repair. It is not a medically necessary procedure; the page sets out the position of professional bodies and the role of counselling in detail.
Energy-based and filler procedures
- Genital Laser — mainly for dryness and related symptoms after the menopause. The regulators' warning appears on that page.
- Labia Majora Filler — restoring lost volume.
- PRP to the Genital Area and G-Spot Injection — procedures whose evidence is disputed; this is stated plainly on their own pages.
Three separate groups in terms of evidence
Knowing this distinction is the most useful thing you can take away when making a decision:
- Procedures that correct a functional problem — for example discomfort caused by the size of the inner labia, or repair of supporting structures after childbirth. Here there are defined findings and established surgical techniques.
- Procedures aimed at changes caused by the menopause — here the options with established evidence come first: moisturisers, local oestrogen and hormone therapy. Laser is a tool alongside these, not a replacement for them.
- Injection procedures aimed at sexual function — in this group there are explicit warnings from ACOG and the FDA, and there is no long-term evidence of effectiveness.
Common principles in making the decision
Assessing expectations
This is what the sources emphasise most. Whether a result is found acceptable depends not only on the anatomical finding but on the balance between that finding and the distress it causes. In people whose finding is small but who perceive it as very large, no result may feel sufficient.
Body dysmorphic disorder
Its frequency among people presenting for aesthetic surgery has been found to be 13.2% — in other words, it is not rare. The critical finding is this: more than 90% of people with this condition are still not happy after surgery, and surgery can in fact make the situation worse. In such a case the right course is psychological assessment and treatment first.
A chaperone at the examination
A chaperone who is a health professional must always be present during the examination; this applies to female doctors and female patients too. A family member is not considered suitable for this role.
The use of images
The sources state specifically that drawings and photographs must not be presented in a way that suggests an "expected result". Healing and scarring vary from person to person; possible outcomes should be described as a range.
For this reason there are no before-and-after images on this site. This is also a requirement of the regulation in force.
"No" is also an answer
One of the source texts puts it this way: "A patient cannot consent to a flawed procedure." If the examination findings do not support it — for example in someone whose inner labia are already small — the procedure is not recommended; the scarring and risks would outweigh the change that could be achieved. This assessment stands however keen the person may be.
What you will not find on these pages
The healthcare advertising and information regulation in force does not permit commercial promotional elements in health content. For that reason this site carries no information about the cost of procedures, no promotional announcements, no accounts of other people's experiences, no before-and-after images and no product brands. Clinical terms are also used in place of names drawn from popular culture.
With every surgical and interventional procedure the results vary from person to person; please speak to your doctor about your own situation.
With any surgical procedure, results vary from person to person. You are advised to discuss the procedure with your doctor in detail beforehand.
Frequently Asked Questions
Which procedures does genital aesthetics cover?
On the surgical side Labiaplasty, Clitoral Hood Reduction, Vaginoplasty and Hymenoplasty; on the energy and filler side Genital Laser, Labia Majora Filler, PRP to the Genital Area and G-Spot Injection. Their levels of evidence differ greatly from one another.
Which procedures have strong evidence?
It helps to think in three groups. Those correcting a functional problem (discomfort from the size of the inner labia, repair of support after childbirth) have defined findings and established techniques. For changes caused by the menopause, moisturisers, local oestrogen and hormone therapy come first. For injections aimed at sexual function there are explicit warnings from ACOG and the FDA.
Why are my expectations questioned so closely?
Because whether a result is found acceptable depends not only on the anatomical finding but on the balance between that finding and the distress it causes. In people whose finding is small but who perceive it as very large, no result may feel sufficient. This assessment is meant to protect you from possible disappointment.
Why does body dysmorphic disorder matter?
Because it is not rare: its frequency among people presenting for aesthetic surgery has been found to be 13.2%. The critical finding is that more than 90% of people with this condition are still not happy after surgery, and surgery can make the situation worse. The right course is psychological assessment and treatment first.
Could the procedure I want be refused?
Yes. One of the source texts puts it this way: “A patient cannot consent to a flawed procedure.” If the examination findings do not support it, the procedure is not recommended — the scarring and risks would outweigh the change that could be achieved. This stands however keen the person may be.
Why are there no before-and-after photographs on the site?
For two reasons. First, the sources' own warning: images must not be presented in a way that suggests an “expected result”; healing and scarring vary from person to person. Second, the regulation in force: information about the cost of procedures, promotional announcements, accounts of other people's experiences, before-and-after images and product brands do not appear on this site.
Who will be present at the examination?
A chaperone who is a health professional must always be present during the examination; this rule applies to female doctors and female patients too. A family member is not considered suitable for this role.
Sources
- Hamori CA, Banwell PE, Alinsod R (Eds.) — Female Cosmetic Genital Surgery. Thieme, 2017. Patient selection, assessment of expectations, consent and the use of images.
- Bader A (Ed.) — Aesthetic Gynecology Rejuvenation. CRC Press, 2023. Groups of procedures and the chapter on body dysmorphic disorder.
- American College of Obstetricians and Gynecologists (ACOG) and the US Food and Drug Administration (FDA) — warnings on energy-based devices and on injection procedures aimed at sexual function.
- Türkiye's regulation on advertising and information activities in health services (Official Gazette 12/11/2025, No. 33075).
The information on this page is based on the national and international guidelines listed above. The page is reviewed whenever those guidelines are updated.
Practice and Contact Details
The information on this page is general. Please speak to your doctor about your own situation.
- DoctorOp. Dr. Murat Alpay — Specialist in Obstetrics and Gynaecology
- AddressOp. Dr. Murat Alpay Practice, Tekelioğlu Cd. No:51 B Kat:2, Filo Apt., 07160 Muratpaşa / Antalya
- Telephone0505 351 77 88
- HoursMonday – Saturday 09:00 – 18:00 · Closed on Sunday