FIGO statement: Cosmetic genital surgery

Abstract

Cosmetic genital surgery refers to various procedures that involve surgical alteration of the vulvovaginal anatomy for aesthetic reasons in women without structural or functional abnormalities. The growing demand for such procedures stems from exposure to media and online content that reinforced the notion that certain genital appearances do not conform to an idealized aesthetic standard. There is, however, a lack of strong evidence and limited published research to support the claim that cosmetic genital surgery is safe and effective. FIGO asserts that it is ethically inappropriate for obstetrician-gynecologists to recommend, perform, or refer patients for these procedures. Women should receive counseling and be informed that these procedures are not medically indicated and come with potential risks. Of special concern is the use of laser-based devices for treating the genitourinary syndromes of menopause or for cosmetic purposes. There is insufficient research data to support the safety and effectiveness of these devices. By addressing ethical concerns and ensuring that accurate information is provided, healthcare professionals can support women in making well-informed choices about cosmetic genital surgery.

Keywords: cosmetic genital surgery; genital anatomy; genito urinary syndrome of menopause; laser‐based devices; surgical alteration; vulvovaginal anatomy.