Your concerns

A private conversation, shaped around you.

Hospital-based repair or reshaping of the perineal area for carefully assessed postpartum, functional, or anatomical concerns. Your consultation may include:

  • Painful or bothersome perineal scar tissue
  • Changes after a tear, episiotomy, or childbirth
  • Discomfort or pulling at the vaginal opening
  • Functional concerns that persist despite initial care

Before treatment

Assessment comes first.

Dr. Tessa will review whether this option is appropriate, what alternatives are available, and what a realistic outcome may look like.

  • Birth injuries, prior repairs, and how healing progressed
  • Pelvic-floor symptoms, bowel symptoms, and pain
  • Whether scar care or pelvic-floor therapy may help
  • Future birth plans and the benefits, risks, and limits of surgery

Your visit

What to expect

  1. 01

    Detailed discussion of childbirth, healing, and current symptoms

  2. 02

    Focused examination with consent

  3. 03

    Review of conservative and surgical options

  4. 04

    Hospital planning and individualized aftercare if surgery is chosen

Recovery & aftercare

Guidance for healing safely.

Instructions are tailored to the exact treatment and your health. General points may include:

  • Temporary swelling, bruising, and soreness are expected
  • Gentle wound care and activity restrictions support healing
  • Intercourse, tampons, strenuous exercise, and lifting are paused until cleared
  • Follow-up visits are important to assess healing

Common questions

Frequently asked questions

Is perineoplasty the same as vaginoplasty?

No. Perineoplasty focuses on tissue at the vaginal opening and perineum, while vaginoplasty involves the vaginal canal.

Can pelvic-floor therapy be an alternative?

For some symptoms, yes. Assessment helps determine whether muscle therapy, scar care, another treatment, or surgery is more appropriate.

Where is surgery performed?

Perineoplasty is hospital-based. The setting and anesthesia plan depend on the intended repair and your health.

When symptoms are urgent

Severe or rapidly worsening pain, heavy bleeding, fainting, fever with worsening swelling, difficulty breathing, or a possible pregnancy emergency requires prompt assessment. Contact local emergency services or go to the nearest emergency department.