Perineoplasty & Vaginoplasty Basel
Specialist assessment and surgical reconstruction of the perineum, vaginal opening and vaginal tissue stability – following childbirth, episiotomy, perineal tear, scar-related discomfort, or a vaginal opening perceived as too wide. Personally performed by Dr. Anna M. Wagner.
- Who it is for
- After birth, episiotomy or perineal tear: scar discomfort, a vaginal opening that feels too wide
- Appointment
- Assessment first, then outpatient reconstruction under local anaesthesia
- Costs
- Surgery from CHF 4,000, self-pay service; initial consultation covered by basic insurance where medically indicated, otherwise CHF 195
Gynaecologist FMH with a focus on operative gynaecology.
Consultation covered by basic insurance where medically indicated · otherwise CHF 195
Prefer to call · +41 61 666 62 10Outpatient perineoplasty at Dr. Wagner's practice in Basel – personally consulted and operated on. Local anesthesia, sedation optional. Duration usually 60–120 minutes. Healing often around 6 weeks. From CHF 4,000. Self-pay service – no coverage from health insurance.
- FMH specialist – Specialist FMH in gynecology and obstetrics with a focus on operative gynecology and obstetrics.
- Alinsod Institute (USA) – International training in aesthetic and reconstructive vulvovaginal surgery with Prof. Red Alinsod. Diploma AVVS.
- 4,000+ gynaecological procedures – Extensive surgical experience in clinic and outpatient surgery – routine that counts in the operating room.
more
- One physician – The same physician from the initial consultation to follow-up. No clinic chain, no rotating team.
- No isolated vaginoplasty – A deliberate medical decision: internal tightening without adjustment of the perineum and vaginal opening is not anatomically sensible – hence it is offered only in combination.
- Safety & limits – In cases of prolapse, relevant incontinence, active infections or unrealistic expectations, further diagnostics or a different strategy is needed first – no surgery in that case.
- Discretion – Discreet practice structure, secure correspondence, undisturbed reception.
At a glance
Perineoplasty reconstructs the perineum and vaginal opening and can be performed as a stand-alone procedure if vaginal tissue tension is stable. Vaginoplasty (tightening of the posterior vaginal wall) is not performed in isolation at this practice – internal tightening without a simultaneous adjustment of the perineum and vaginal opening is not anatomically or functionally sensible.
- Gynecologist FMH with a focus on operative gynecology and obstetrics
- Specialized training with Prof. Red M. Alinsod (USA) – Diploma AVVS (Aesthetic Vulvovaginal Surgery)
- Member of ESAG, ISCG, AAVS, SGGG, SGUM, SGML
- Over 4,000 gynaecological procedures in clinic and practice
- Own practice in Basel since 2016 (10 years) – consultation, procedure and aftercare with one doctor
- Isolated vaginoplasty is deliberately not offered – only in combination with perineoplasty
- Open-outcome consultation – even if the result is advising against a procedure
Experience in numbers
4,000+
gynaecological procedures · clinic & outpatient
FMH
focus on operative gynecology
Outpatient
home the same day
One physician
consultation, procedure and aftercare
Why Dr. Wagner
Operative gynecology for sensitive reconstructions.
Perineoplasty and vaginoplasty are procedures in a functionally and emotionally very sensitive area. Precise anatomical assessment, surgical experience and realistic planning are decisive – not cosmetic standard shapes.
FMH specialist
Specialist FMH in gynecology and obstetrics with a focus on operative gynecology and obstetrics.
Alinsod Institute (USA)
International training in aesthetic and reconstructive vulvovaginal surgery with Prof. Red Alinsod. Diploma AVVS.
4,000+ gynaecological procedures
Extensive surgical experience in clinic and outpatient surgery – routine that counts in the operating room.
One physician
The same physician from the initial consultation to follow-up. No clinic chain, no rotating team.
No isolated vaginoplasty
A deliberate medical decision: internal tightening without adjustment of the perineum and vaginal opening is not anatomically sensible – hence it is offered only in combination.
Safety & limits
In cases of prolapse, relevant incontinence, active infections or unrealistic expectations, further diagnostics or a different strategy is needed first – no surgery in that case.
Discretion
Discreet practice structure, secure correspondence, undisturbed reception.
Concern
Perineoplasty and vaginoplasty – always considered together.
At this practice, vaginoplasty is fundamentally not performed in isolation: internal tightening without a simultaneous adjustment of the perineum and vaginal opening is not anatomically or functionally sensible. A perineoplasty, on the other hand – given stable vaginal tissue tension – can also be planned as a stand-alone procedure.
Perineoplasty reconstructs the perineum and vaginal opening. Common reasons include discomfort after childbirth, episiotomy, perineal tear, scar pulling, a sensation of pressure, troublesome excess tissue, or a vaginal opening perceived as too wide.
The goal is not a cosmetic standard shape but a functional, anatomically fitting reconstruction: less pulling, less friction, better stability, a more natural bodily sensation.
Treatment
Two treatment steps – matched to your findings.
After thorough assessment, it is decided individually whether a perineoplasty alone or a combination with vaginoplasty makes sense. For more complex findings, a labial correction or scar correction can also be performed in the same procedure.
- 01Perineoplasty (basic): reconstruction of the perineum and vaginal opening
- 02Perineoplasty with vaginoplasty (extended): additional tightening of the posterior vaginal wall
- 03Combined reconstruction: with labial correction or scar correction if needed
- 04Outpatient procedure at the practice at Spalenvorstadt 3
- 05Local anesthesia, optional additional sedation by arrangement
- 06Duration usually 60–120 minutes, depending on findings
- 07Self-dissolving sutures – no separate suture-removal appointment
Who it's for
When a consultation may be worthwhile
- Scar-related discomfort after episiotomy or perineal tear
- Pressure sensation and friction in the perineum/vaginal opening area
- Pain during intercourse (dyspareunia)
- Sensation of a too-wide vaginal opening after childbirth
- Asymmetry or scar pulling at the perineum
- Counselling after FGM is available here – the surgery itself takes place in hospital and is a mandatory benefit of basic insurance once cost coverage is approved
- Distinction needed from prolapse, incontinence or pelvic floor issues
Pre-operative note
Medications & supplements before the procedure
No aspirin, ibuprofen or other blood thinners in the 10 days before surgery. Never stop prescribed blood-thinning medication on your own – any change must always be discussed with the treating physician.
Also stop herbal supplements
vitamin E, fish oil/omega-3, ginkgo, garlic and ginger preparations, ginseng, turmeric and high-dose vitamin C increase bleeding risk. Please disclose all preparations – including over-the-counter and 'harmless' vitamins – fully during the consultation.
Nicotine is the most important avoidable factor for wound-healing problems – smoking (including e-cigarettes and nicotine replacement) narrows skin blood vessels and reduces oxygen supply. Stopping smoking several weeks before and after surgery is strongly recommended.
Diet also affects wound healing
a strictly vegan diet (and, to a lesser extent, a purely vegetarian one) often contains too little high-quality protein, iron, zinc, vitamin B12 and vitamin D – important for collagen formation and wound closure. We recommend a protein-rich diet around the surgery and discuss targeted supplementation for a vegan diet.
Comparison
Perineoplasty vs. CO₂ laser
Surgical reconstruction and CO₂ laser (Candela) pursue different goals. Perineoplasty is a structural reconstruction of the perineum and vaginal opening with a permanent result. The CO₂ laser improves mucosal quality and tissue tension – it does not tighten the vagina.
Downtime
perineoplasty about 6 weeks, laser practically none.
Sessions
perineoplasty once, laser 3–4 treatments spaced 4 weeks apart with an annual touch-up.
Both methods can complement each other – perineoplasty for structure, CO₂ laser for mucosal quality and comfort. The decision is made after an individual examination.
Distinction
What a perineoplasty is not
A perineoplasty or vaginoplasty is not a pelvic floor operation. It does not treat prolapse, relevant incontinence, or deeper-lying descent – a different surgical strategy is required for those.
In cases of pronounced prolapse, relevant stress or urge incontinence, active infections, or poorly controlled risk factors, conservative therapy or urogynaecological assessment comes first.
Travelling from abroad
For patients travelling long distances
A personal examination in Basel is mandatory before any procedure – surgery will not be performed without it.
Wherever possible, the examination and procedure are coordinated closely in time. One night in Basel before the procedure is sufficient; travelling home after surgery is straightforward, though long flights right afterward are unsuitable. The follow-up check is included – usually around six weeks after the procedure, depending on how healing progresses.
Related topics
Costs
2026 prices – transparent, individual.
An individual cost breakdown is provided after the consultation. Perineoplasty and vaginoplasty are self-pay services – health insurance does not cover the costs.
- Perineoplasty – from CHF 4,000 (depending on findings)
- Perineoplasty with vaginoplasty – on request
- Combined reconstruction (with labial/scar correction) – package price
- Initial consultation where medically indicated – covered by Swiss basic insurance; deductible and co-payment may apply
- Initial consultation as a self-payer (without insurance cover, e.g. patients from abroad) – CHF 195, credited towards surgery
- Follow-up checks included in the procedure price
- Local anesthesia, sedation on request, self-dissolving sutures – included
Payment by cash or card at the practice, no later than one week before the procedure. All prices include VAT. Cancellation up to one week before the procedure is free of charge; for cancellation within the final week 50% of the procedure fee is charged, and 100% for non-attendance.
Process
From assessment to healing
Personal care in four steps – the same physician from initial consultation to follow-up.
Initial consultation at the Basel practice. For a medical question, billing through basic insurance is possible depending on the indication; deductible and co-payment may apply.
- Step 01
I · Initial consultation
Detailed history-taking, discussion of concerns, wishes and limits. No surgery without a clear medical and personal indication. Appointment at the Basel practice – a physical examination is required for a proper assessment.
- Step 02
II · Examination & surgical plan
Specialist assessment of scars, perineal stability, vaginal width, pelvic floor and possible prolapse. An individual plan follows – perineoplasty alone or combined with vaginoplasty.
- Step 03
III · Outpatient procedure
Performed on an outpatient basis in Basel under local anesthesia, with sedation options depending on findings. Duration usually 60–120 minutes. Technique adapted to anatomy, tissue quality and goal.
- Step 04
IV · Aftercare
Follow-up appointments, clear behaviour guidelines, wound care and direct medical availability. Healing often around 6 weeks; sport and sex only after medical clearance.
Frequently asked questions
What patients often ask.
Medically reviewed by Dr. med. Anna Margareta Wagner
Board-certified specialist (FMH) in Gynaecology and Obstetrics, specialising in intimate surgery, ultrasound diagnostics and individual women's health.
Last medically reviewed:
Sources & associations
Leave a short note – we will call you back.
Two minutes, four questions. We will call you back at a time that suits you.
Book your appointment online.
Online via Doctena or by phone at +41 61 666 62 10.
Emergency: For acute, severe symptoms outside office hours, call the medical emergency line 144 or go to the emergency department of the University Hospital Basel.
Medical notice: The content of this page is for general information only and does not replace personal medical advice, diagnosis or treatment. Measures are discussed individually during the consultation and are based on medical history, examination and current guidelines.
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