First, the anesthesia doctor will administer local anesthesia to numb the genital area. The cosmetic surgeon will then begin the procedure once the area is numbed. The surgeon will pull all the loosened vaginal muscles together in an attempt to restore vaginal laxity back to its original state. Surgeons may choose to restore vaginal laxity for cosmetic reasons, medical reasons, or both. Therefore, the result of the surgery may vary depending on the desired outcomes of each patient. Sometimes, vaginoplasty can be done to repair injuries after childbirth. For such a procedure, the surgeon first removes the extra skin in order to recreate the vaginal shape. Then, the surgeon uses stitches in order to secure loose tissues in part or the full depth of your vagina. It is usually believed that all women are born with a hymen. But some women are not born with hymen. So, in that case, the surgeon may graft the skin from the surrounding area and construct the hymen. This is a safe procedure that can be performed in a single sitting and patients can go home on the same day of the surgery. The cost of vaginoplasty treatment can cost you around Rs. 40,000 to Rs. 50,000 depending on various factors such as choice of cosmetic surgeon, choice of hospital, post-surgery consultations, cost of non-medical equipment, etc. 

Vaginoplasty is a simple surgery. However, some women can be skeptical about the procedure right before the day of surgery. Some of the key instructions before vaginoplasty surgery include the following preparations – 

• You must inform your doctor about your medical history, including any ongoing medications or allergies related to anesthesia or any other medications. 
• The patient must not engage in any sexual intercourse or penetrative activity for at least a month before the surgery. 
• The patient must not smoke tobacco or consume alcoholic beverages for at least 5-6 weeks before the scheduled surgery. 
• Since the surgery is performed under anesthesia, it is important that the patient does not eat 8 hours prior to the operation. However, you may include fluids, including water, fresh juices, sports drinks, or clear broth/ tea. 
• On the day of the surgery, prefer wearing loose clothing to avoid any discomfort. Moreover, it is generally advisable to shave the surgical site. Avoid shaving it yourself in order to prevent cuts and bruises. 

You will be taken to the operation theatre in loose clothing. The anesthetist will administer anesthesia that will numb the surgical site. The surgeon will perform the surgery based on the looseness and desired results by the patient. The surgery can take anywhere between 30 minutes to 1 hour based on the patient’s condition and the surgical expertise of the surgeon. Once the effects of anesthesia wear off, the patient may feel a slight stretch or tightness around the vagina due to suturing. Vaginoplasty is an outpatient surgery which means you may be allowed to go home on the same day of the surgery.

The post-treatment care for vaginoplasty involves rest and dietary restrictions for the first few weeks after the surgery. Since there are multiple fresh stitches in the vagina, the surgical site is usually sensitive for the next 6-8 weeks after the surgery. Therefore, it is advised that patients who undergo vaginoplasty must not engage in penetrative sex for almost 1.5 months after the surgery. The vagina is still sensitive and can lead to excessive bleeding in case of any insertion. The patient must consume a high amount of fibrous food along with a diet rich in fluids.