Dr. Vicky Jain Plastic Surgeon - Excellence in Cosmetic Surgeries

What is Clitoroplasty (Reconstructive)? 

Clitoroplasty is a type of surgery that helps reshape or reduce the size of the clitoris when it’s bigger than usual due to medical conditions like Congenital Adrenal Hyperplasia (CAH). Some people are born with this condition, which can cause their genitals to look different. Clitoroplasty is done to make the area look more typical and to help avoid any physical or emotional discomfort as they grow older.

The surgery is very careful to protect the nerves so that the person can still feel sensation in that area later in life. It can also help with things like peeing comfortably and feeling more confident. Sometimes, this surgery is done when someone is younger, and sometimes it’s done later when the person is older and can help decide what’s best for their body. Doctors, along with the family and the person themselves, all work together to make the right decision.

Why Do People Consider treatment for Clitoroplasty (Reconstructive)?

• 1. Medical & Functional Reasons

• To correct clitoromegaly (enlarged clitoris) due to conditions like Congenital Adrenal Hyperplasia (CAH) or intersex variations

• To improve urination and genital hygiene

• To reduce physical discomfort during movement or while wearing certain clothing

• To ensure long-term genital health as the body grows

• 2. Emotional & Psychological Wellbeing

• To reduce body image concerns, especially during puberty

• To prevent or manage emotional distress or gender dysphoria

• To improve self-esteem and confidence in social and personal settings

• To reduce the risk of social stigma or teasing related to genital appearance

• 3. Sexual Health & Sensation

• To preserve or improve sexual sensation with nerve-sparing techniques

• To support future healthy sexual function and body comfort

• 4. Gender-Affirming or Identity-Related Reasons

• As part of gender-affirming care for individuals aligning their body with their gender identity

• To support personal identity, autonomy, and comfort with one’s body

Dr Vicky Jain Approach to Clitoroplasty (Reconstructive)

Dr. Vicky Jain performs clitoroplasty with a strong focus on safety, sensitivity, and patient-centered care, especially in individuals with conditions like Congenital Adrenal Hyperplasia (CAH) or other intersex variations. Dr. Vicky Jain uses modern, nerve-sparing surgical techniques to reshape or reduce the clitoris while preserving natural sensation and sexual function. Each case is carefully assessed through a multidisciplinary approach, involving pediatric endocrinologists, psychologists, and urologic or gynecologic experts to ensure that the medical, emotional, and developmental needs of the patient are fully addressed.

The decision to proceed with clitoroplasty is made only after thorough counseling with the patient and their family, ensuring informed consent, privacy, and long-term support. Whether the surgery is performed in early childhood or during adolescence, Dr. Jain ensures that the outcome enhances both physical comfort and psychological wellbeing. Postoperative care includes close monitoring, healing support, and ongoing guidance, reinforcing Dr. Vicky Jain’s commitment to dignity, sensitivity, and holistic patient care throughout the reconstructive journey.

What is the suitable age group for Clitoroplasty (Reconstructive)?

Clitoroplasty (reconstructive) is typically considered in early childhood (6 months to 2 years) or during adolescence (12 to 18 years), depending on the individual’s condition, medical needs, and personal or family preferences. In early childhood, the surgery may be recommended for congenital conditions like Congenital Adrenal Hyperplasia (CAH) to support typical genital development and reduce emotional challenges later in life. However, many experts now support waiting until the child is older such as during adolescence—so they can participate in the decision-making and give informed consent. In gender-affirming or revision cases, clitoroplasty may also be performed in adulthood. Ultimately, the timing of surgery is personalized and guided by a multidisciplinary team, with a strong emphasis on psychological readiness, physical health, and the individual’s comfort and consent.

How long does recovery take for Clitoroplasty (Reconstructive)?

Recovery from clitoroplasty (reconstructive) generally takes about 2 to 4 weeks for initial healing, though full recovery may take up to 6 to 8 weeks, depending on the individual’s age, the extent of the surgery, and overall health. Most patients can return to light daily activities within a few days to a week, but they are advised to avoid strenuous movement, cycling, or tight clothing during the healing period. Mild swelling, bruising, and discomfort are common in the first few days but are managed with medication and proper wound care. Follow-up visits are essential to monitor healing, ensure proper nerve function, and address any concerns. Long-term outcomes are typically very positive, especially when the surgery is performed using nerve-sparing techniques, with most individuals experiencing good cosmetic results and preserved sensation.

Tests Requirements

Before undergoing clitoroplasty (reconstructive), several medical evaluations and diagnostic tests are performed to ensure safety and personalize the surgical plan. These typically include blood tests to assess hormone levels especially in cases like Congenital Adrenal Hyperplasia (CAH) including 17-hydroxyprogesterone, electrolytes, and cortisol. A karyotype test (chromosome analysis) may be done to determine genetic sex if there are intersex traits. Pelvic ultrasound or MRI may be recommended to evaluate internal reproductive anatomy. Routine preoperative blood work, such as CBC, blood sugar, clotting profile, and renal function, is also necessary to confirm readiness for anesthesia and surgery. In older children or adolescents, a psychological assessment may be included to support informed consent and emotional preparedness. These tests together help ensure a safe and effective surgical outcome tailored to the patient’s unique needs.