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Labiaplasty / Vaginoplasty – Information for GPs

Referral criteria / commissioning position

Female circumcision is prohibited in law by the Female Genital Mutilation Act 2003 and is the subject of multi-agency guidelines from the Department of Health.

Patients who have undergone Female Genital Mutilation should be referred to a specialist Female Genital Mutilation Clinic via NHS England.

Labiaplasty / Vaginoplasty is not routinely commissioned by the CCG. This is in line with the Interim Clinical Commissioning Policy produced by NHS England. Reconstruction is only routinely commissioned following surgery for cancer.

Requests for funding for labiaplasty are only considered, with prior approval from the Individual Funding Request Panel (IFR) where:

  • the labia are directly contributing to recurrent disease or infection
  • repair of the labia is required after trauma e.g. childbirth

Requests for funding for vaginoplasty will be considered for the following indications:

  • congenital absence or significant development/endocrine abnormalities of the vaginal canal
  • where repair of the vagina canal is required after trauma

Investigations prior to referral

None

Information to include in referral letter

  • Details of how the patient meets this requirement
  • Treatments and interventions tried including the results
  • Drug history (prescribed and non-prescribed)
  • Relevant past medical/surgical history
  • Current regular medication
  • BMI
  • Smoking status
  • Alcohol consumption
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