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Sometimes during a difficult birth, damage can be caused to the area between the vagina and the rectum. When a bad tear has occurred or there has been poor stitching, the area can look disfigured when healed. This can affect confidence and cause discomfort during intercourse. In some cases it can lead to weakness in the pelvic floor and lax muscles, presenting problems in urinary function and, in worst cases, can even cause incontinence.

The good news is that surgery can make a massive difference to the way you look and feel, restoring both the cosmetic appearance of the perineum as well as the muscle tone deep in the pelvic floor and vaginal muscles. Surgery to improve the way this area looks and functions can be highly rewarding, allowing you to feel that things are back to normal shortly afterwards.

Whatever your requirements, the Cadogan Clinic can provide the leading experts and techniques for your treatment in its state-of-the-art, purpose-built central London facility.

Why Choose Us?

Your choice of the top specialist surgeons in the country.

Beautiful, purpose-built facilities right in the heart of London.

No hidden costs – all prices quoted up front with flexible payment options.

Pioneers of innovative day case treatments for superior results and faster recovery.

Use of only the highest quality materials such as FDA-approved implants.

Expert aftercare in the hands of our wound-care and scar minimization team.


Variable prices can result from the fact that many of our consultants operate with different fee structures. In all cases, prices will be confirmed to you by your consultant before any treatment takes place.

Perineum & Pelvic Floor Repair: from £3000.  Find out more about our Prices and Finance.

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During your consultation your surgeon will advise you to stop smoking, aspirin or other medication prior to surgery as this can slow down the healing process. He or she will discuss with you when it is suitable to resume these.

Following your surgery you may experience some mild discomfort and swelling but this will usually disappear completely one or two weeks. Many of our patients go back to work after one week but your surgeon will advise you to refrain from exercise, driving and sexual intercourse until full healing has taken place.

Most of our patients opt to undergo this procedure under general anaesthetic so you will feel no pain. After your surgery, any pain or discomfort you may experience will be controlled with medication provided by your doctor and this will usually subside within a few days.

Prices begin at £3000 depending on your initial consultation with your expert cosmetic gynaecology surgeon.

Generally, there will be swelling and soreness after surgery which should subside in a week or two. After a couple of days you should be able to walk around comfortably. The final result may be a couple of months following surgery, but you are usually able to resume sexual activity and exercise within 4-6 weeks.

Any risks are the same as with any other surgical procedure that involves a general anaesthetic if this is what you choose to have. Apart from possible bleeding and infection which is not common, there are no specific risks to be concerned about but your surgeon will explain this procedure to you in detail at your consultation.

The surgery is carried out as a day case under general anaesthetic. There are different types of pelvic floor repair: anterior repair to fix the weak muscles in the front wall of the vagina that support the bladder, and posterior repair to fix the muscles in the back wall of your vagina that support your bowel. Many women experience some mild discomfort and swelling following surgery, which usually disappears completely after one or two weeks and any stitches will dissolve so there is no need for their removal.

Following your perineum and pelvic floor surgery there will be an improvement to the way this area looks, feels and functions allowing you to feel that things are “back to normal” shortly afterwards, give you back your confidence and rebuild your sex life.

Perineum and Pelvic Floor Repair is a cosmetic surgery treatment to restore both the cosmetic appearance of the perineum as well as the muscle tone deep in the pelvic floor and vaginal muscles which may have been damaged during childbirths.

We use a variant of the general anaesthesia technique called TIVA (Total Intravenous Anaesthesia) that is delivered by our team of top anaesthetists. Intravenous delivery enables our anaesthetist team to monitor anaesthetic depth more closely via specialized computers to maintain an optimal level of anaesthesia. This means you will wake up feeling much better than with traditional alternatives and ready to go home shortly after.

What to Expect

Step 1. Optional Free Consultation

We offer a free no-obligation 30-60 minute consultation with one of our specialist patient advisors to help you decide whether surgery is the right choice for you. The consultation will take the form of a discussion with an expert with over 15 years industry experience in which we begin to understand your objectives and the results you want to achieve.

If you decide to go ahead with treatment, our advisers can give you all the information you require to choose the right procedure and the right surgeon for you. This is also an excellent opportunity to see our facilities and get a feel for the Cadogan experience.

Step 2. Surgical Consultation

The next step is to come in and meet your chosen surgeon at the Clinic. We have assembled some of the best surgeons in the world who will use this time to make a comprehensive medical assessment of you and your condition before proceeding with treatment.

In practice this involves a 30-60 minute consultation in which a detailed assessment of the outcomes you can achieve is made and any questions you may have about the procedure are answered.

Step 3. The Procedure

On the day of your procedure you will be welcomed at the Clinic by your patient advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anesthetist to run through the details of your procedure one final time and answer any last questions you may have.

After the procedure you will recover in the capable hands of your nursing after care team. As we are a day case facility you can expect your recovery to be complete within 2 to 3 hours and able to be discharged from the Clinic the very same day. In some cases patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure.

Step 4. After Care & Support

Our care and support continues in the days and weeks after your procedure with our complimentary aftercare programme. A series of free appointments will be made with your surgeon and nursing team in order to monitor your progress and recovery, as well as introduce you to several scar minimization techniques and bespoke creams to aid your progress.

Access to our aftercare nursing team is free of charge for a full 12 months after your surgery.


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