Our Summary

This research paper is aimed at Canadian surgeons who perform female genital cosmetic surgery (FGCS) and other related procedures. The goal is to provide these professionals with evidence-based guidelines due to increasing demands for vaginal and vulvar surgeries that are not deemed medically necessary.

The study found that most women who request these procedures have normal genitalia, and a significant number of them (up to 87%) are satisfied with just counseling. This suggests that healthcare providers can assist these women by educating them about their anatomy and the natural variations that exist.

However, the paper also points out that there’s currently no solid scientific or clinical evidence to support the efficacy and safety of these procedures when performed for non-medical reasons.

The researchers also note that FGCS procedures are usually offered in the private sector, so the costs are typically borne by the patients.

The study was based on a review of existing literature on the topic, with the authors rating the quality of the evidence and strength of the recommendations using a well-established approach known as the GRADE system.

This paper is intended for gynecologists, primary care providers, and surgeons who perform FGCS procedures.

FAQs

  1. Who is the intended audience for this research paper on female genital cosmetic surgery (FGCS)?
  2. What evidence was found regarding the efficacy and safety of FGCS procedures performed for non-medical reasons?
  3. What were the findings about patient satisfaction with counseling instead of undergoing FGCS procedures?

Doctor’s Tip

One helpful tip a doctor might tell a patient about cosmetic surgery is to thoroughly research the procedure, the surgeon performing it, and the potential risks and benefits involved. It’s important for patients to have realistic expectations and to understand that cosmetic surgery is not a quick fix solution. Patients should also be aware of the recovery process and follow all post-operative care instructions provided by their surgeon. It’s crucial to have open and honest communication with your surgeon and to ask any questions or voice any concerns before moving forward with the procedure.

Suitable For

It is important for healthcare providers to carefully evaluate patients who are considering cosmetic surgery, including FGCS, and ensure that they fully understand the risks and benefits of these procedures. Additionally, it is crucial for providers to have open and honest conversations with patients about their motivations for seeking these surgeries and to provide appropriate counseling and education. Ultimately, the decision to undergo cosmetic surgery should be made based on informed consent and a thorough understanding of the potential outcomes.

Timeline

Before Cosmetic Surgery:

  1. Patient expresses interest in cosmetic surgery and schedules a consultation with a surgeon.
  2. Patient discusses their desired outcome and expectations with the surgeon.
  3. Surgeon evaluates the patient’s medical history, current health status, and suitability for the procedure.
  4. Patient undergoes pre-operative assessments and tests to ensure they are fit for surgery.
  5. Surgeon discusses the risks, benefits, and potential complications of the procedure with the patient.

After Cosmetic Surgery:

  1. Patient undergoes the surgical procedure under anesthesia.
  2. Patient is monitored closely post-operation for any complications or adverse reactions.
  3. Patient may experience pain, swelling, and bruising in the days following surgery.
  4. Patient follows post-operative care instructions provided by the surgeon to aid in recovery.
  5. Patient attends follow-up appointments with the surgeon to monitor progress and address any concerns.
  6. Patient gradually sees the final results of the cosmetic surgery as swelling subsides and the body heals.

What to Ask Your Doctor

Some questions a patient should ask their doctor about cosmetic surgery include:

  1. What are the potential risks and complications associated with the procedure?
  2. What is the recovery process like, and how long will it take before I can resume normal activities?
  3. Can you show me before and after photos of patients who have had similar procedures?
  4. What are the realistic expectations I should have for the results of the surgery?
  5. What type of anesthesia will be used during the procedure?
  6. How many times have you performed this specific procedure, and what is your success rate?
  7. What are the alternative options available to achieve the desired results?
  8. What is the cost of the procedure, and does it include follow-up appointments or any potential revisions?
  9. Will there be any scarring after the surgery, and if so, how noticeable will it be?
  10. How long will the results of the surgery last, and are there any long-term effects to consider?

It is important for patients to thoroughly research and discuss their concerns with their doctor before undergoing any cosmetic surgery procedure.

Reference

Authors: Shaw D, Allen L, Chan C, Kives S, Popadiuk C, Robertson D, Shapiro J. Journal: J Obstet Gynaecol Can. 2022 Feb;44(2):204-214.e1. doi: 10.1016/j.jogc.2021.11.001. PMID: 35181011