A patient interested in aesthetic vaginal surgery usually calls us to set up an initial appointment for evaluation. If at the time of evaluation the patient and physician agree that surgery is the correct choice then a surgical date is finalized. If the individual is an established patient then I will usually see her within a week of surgery to perform a pre-op evaluation. They may also have this pre-op evaluation with their primary care physician for surgical clearance. This is where blood work, X-rays, EKGs are done if needed. The majority of the time a simple blood count is all that is needed.

Anesthesia is a risk factor because of the very rare possibility of a reaction to either the injected medication or inhaled agents. High temperatures and fevers from Malignant Hypertension can occur. I have personally never seen this in 19 years of clinical practice. You can also aspirate food or fluid that can obstruct your breathing tube or even cause a pneumonia. There is risk of infection of the surgical site, there is a possibility of bleeding and hemorrhage and a need to have a transfusion. With transfusions there is risk of HIV, Hepatitis, and perhaps other unknown viruses. There is even the risk of death. If tissue or mesh augmentation is needed then there is the risk of rejection of these grafts. Again, these complications are exceptionally rare and the huge majority of cases go quite smoothly. A risk you should also consider is one similar to remorse when one is not fully happy with the result of surgery. The risk of having the surgery redone or amended is present but fortunately is very rare.