Female genital plastic surgery has become an increasingly sought-after option for women seeking 'improvement' in genital appearance, relief from discomfort, and increased sexual pleasure. These surgeries are a combination of gynecologic, plastic, and cosmetic procedures. Every year sees a higher demand for physicians properly trained and able to perform them. This unique text from the acknowledged experts in the field covers; the anatomy of the area the specific surgical procedures and all their variations patients' rationales for surgery training guidelines and ethical issues outcome statistics sexual issues patient selection potential risks and complications. Examining the issues from individual patient's perspectives, it is written in an academic but easy-to-read style with understandable and unambiguous drawings and photographs. It contains a step-by-step surgical approach, how to best select the right surgical candidates, how to treat this select group of patients, the sexual issues involved, how to individualize techniques for each specific patient, how to deal with criticism from colleagues or journalists, psychosexual issues, and patient protection.

Female genital plastic surgery has become an increasingly sought-after option for women seeking improvement in genital appearance, relief from discomfort, and increased sexual pleasure. These surgeries are a combination of gynecologic, plastic, and cosmetic procedures. Every year sees a higher demand for physicians properly trained and able to perform them.This unique text from the acknowledged experts in the field covers;* the anatomy of the area* the specific surgical procedures and all their variations* patients rationales for surgery* training guidelines and ethical issues* outcome statistics* sexual issues* patient selection* potential risks and complications.Examining the issues from individual patient s perspectives, it is written in an academic but easy-to-read style with understandable and unambiguous drawings and photographs. It contains a step-by-step surgical approach, how to best select the right surgical candidates, how to treat this select group of patients, the sexual issues involved, how to individualize techniques for each specific patient, how to deal with criticism from colleagues or journalists, psychosexual issues, and patient protection.

List of contributors, viPreface, viiAcknowledgments, viii1 Introduction, 1Michael P. Goodman2 Genital plastics: the history of development, 3Michael P. Goodman3 Anatomic considerations, 9Orawee Chinthakanan, Robert D. Moore, and John R. Miklos4 Definitions, 25Michael P. Goodman5 Philosophy, rationale, and patient selection, 31Michael P. Goodman6 Ethical considerations of female genital plastic cosmetic surgery, 39Andrew T. Goldstein and Sarah L. Jutrzonka7 Patient protection and pre-operative assessment, 45Michael P. Goodman8 Surgical procedures I: vulva and mons pubis, 51Michael P. Goodman, with contributions from David Matlock, Alex Simopoulos, Bernard H. Stern, and Otto J. Placik9 Surgical procedures II: perineoplasty, vaginoplasty, colpoperineoplasty ("vaginal rejuvenation"), 88Robert D. Moore, John R. Miklos, and Orawee Chinthakanan10 The biomechanics and physiology of clitoral and vaginally activated orgasm: impact of vaginal tightening operations, 102Michael P. Goodman11 The G-spot, 108Dudley Robinson and Linda Cardozo12 Post-operative care, 112Michael P. Goodman13 Aesthetic male-to-female transsexual surgery, 120Marci Bowers14 Anesthetic choices and office-based surgery, 131Michael P. Goodman15 Non-surgical cosmetic vulvovaginal procedures, 138Gustavo Leibaschoff and Pablo Gonzalez Isaza16 Surgical risks and untoward outcomes, 154Otto J. Placik17 Revisions and re-operations, 186Michael P. Goodman18 Psychosexual issues, 200Michael P. Goodman19 Outcomes, 206Michael P. Goodman20 Pearls for practice, 212Michael P. Goodman21 Standards of care, 215Michael P. GoodmanIndex, 222