Female genital cosmetic surgery

Summary of recommendations for GPs and other health professionals

FGCS incidence is climbing. Informed GPs can reduce unnecessary anxiety  regarding vulval/genital anatomy, thereby deflecting a climb in FGCS.
 
Patient examination should be performed by the GP or referred to a doctor experienced in women’s health. This is an opportunity to educate female patients about genital anatomy.
 
It is important to consider mental health and relationship abuse issues and refer accordingly.
 
Educate patients about genital diversity, using tools such as the online resource Labia Library  and the publication Femalia, and possible complications of surgery.
 
It is recommended GPs initially refer patients for a gynaecological assessment.
 
If the patient is younger than 18, they should be referred to a specialist adolescent gynaecologist.