Dr. Cat Begovic’s Chapter on FGCS

As I’ve explained, there is a systemic omission of surgical anatomy from literature on female genital cosmetic surgery (FGCS), which is indicative of surgeons operating blind. Omitting important surgical anatomy from coverage of surgical anatomy in literature on plastic surgery techniques is very unusual and indicative of an exceptionally low standard of care unique to vulvas.

This is the problem I’ve been trying to raise public awareness about, as well as solve. That is why I’ve published an anatomic study and convinced 18 textbooks to change. However, until there are training standards for female genital cosmetic surgery and until adequate education in vulvar anatomy is ubiquitous among surgeons, there will be preventable harm. For this reason, I do have concerns about labiaplasty being promoted on TikTok.

Dr. Cat’s many fans are upset, as they feel I have “attacked” her. I don’t agree that I have. But here I will post her chapter on Aesthetic Surgery of the Female Genitalia, as it is a good example showing how surgical anatomy of the vulva is omitted from literature on FGCS techniques.

Here is her whole chapter. Surgical techniques are described, but surgical anatomy is not covered. How to avoid causing damage in clitoral hood reduction is not discussed. Risks go largely unrecognized.