How to Choose the Best Doctor for Perineoplasty
What Every Woman Should Know Before Choosing a Specialist
If you’re considering perineoplasty, choosing the right doctor is one of the most important decisions you’ll make. Although the procedure is commonly performed to repair childbirth-related injuries or improve support at the vaginal opening, every woman’s anatomy and goals are unique. The best outcomes begin with an experienced physician who understands both the functional and cosmetic aspects of perineal reconstruction.
Many women searching for the best doctor for perineoplasty are experiencing symptoms such as a widened vaginal opening, discomfort during intercourse, visible scarring after childbirth, or a feeling that the area has not healed properly following delivery. Others are seeking treatment because they have noticed changes associated with aging or pelvic floor weakness.
Perineoplasty is far more than a cosmetic procedure. It reconstructs the tissues between the vaginal opening and the anus, restoring support that may have been lost following childbirth or injury. In many cases, it is performed together with vaginoplasty or other pelvic floor procedures to improve both function and appearance.
Choosing a physician with specialized training in female pelvic anatomy helps ensure that treatment is tailored to your individual condition rather than following a standardized surgical approach.
This guide explains what perineoplasty is, who performs it, and what to look for when selecting a doctor. View before and After Photos of Perineoplasty.
What Is Perineoplasty?
Perineoplasty is a surgical procedure that reconstructs the perineum, the area of tissue located between the vaginal opening and the anus.
The procedure is designed to restore support and improve anatomy that has been altered by:
- Childbirth
- Perineal tears
- Episiotomy
- Aging
- Vaginal laxity
- Previous pelvic surgery
Rather than simply removing excess tissue, perineoplasty repairs the underlying muscles and connective tissues that contribute to support at the vaginal opening.
Why Do Women Consider Perineoplasty?
Women seek perineoplasty for many reasons.
Common concerns include:
- A widened vaginal opening
- Childbirth-related tears
- Poor healing after an episiotomy
- Pain during intercourse
- Visible scarring
- Decreased vaginal support
- Cosmetic concerns
- Vaginal laxity
- Feeling that the vaginal opening is “too open”
Some women also undergo perineoplasty as part of a larger vaginal rejuvenation procedure.
Who Performs Perineoplasty?
Perineoplasty may be performed by:
- Gynecologists
- Cosmetic gynecologists
- Plastic surgeons
- Urogynecologists
Because the procedure involves both vaginal support and pelvic floor anatomy, many women choose to consult a board-certified urogynecologist, particularly if they also have vaginal laxity, prolapse, urinary symptoms, or childbirth-related pelvic floor injuries.
What Should You Look for in a Perineoplasty Doctor?
Choosing the right physician involves much more than finding someone who offers the procedure.
Specialized Training
Look for a physician experienced in female pelvic reconstructive surgery and perineal anatomy.
Experience
Ask how frequently the doctor performs perineoplasty and whether they routinely treat childbirth injuries and vaginal laxity.
Individualized Treatment
No two childbirth injuries—or women—are the same.
Treatment should be customized based on:
- The extent of tissue damage
- Previous repairs
- Vaginal support
- Pelvic floor function
- Cosmetic concerns
- Your goals
Comprehensive Evaluation
Your consultation should include:
- Medical history
- Childbirth history
- Previous surgeries
- Pelvic examination
- Discussion of symptoms
- Review of all treatment options
- Recovery expectations
A careful evaluation ensures that treatment addresses the true cause of your symptoms.
Communication
Choose a physician who clearly explains:
- Whether surgery is appropriate
- Expected results
- Recovery
- Risks
- Alternatives
Patients who understand their treatment options are better equipped to make informed decisions.
If you’re considering perineoplasty, choosing the right doctor is one of the most important decisions you’ll make. At Miklos & Moore, Dr. John Miklos and Dr. Robert Moore, both board-certified urogynecologists specializing in Female Pelvic Medicine and Reconstructive Surgery (FPMRS), understand that every woman’s anatomy, childbirth history, and treatment goals are unique. Whether you’re seeking treatment for childbirth-related injury, a widened vaginal opening, or discomfort during intimacy, selecting a physician with specialized experience in perineal reconstruction can make an important difference in your care and results.