One thing no one ever addresses is how common accidental complete amputations of the labia minora are during labiaplasties. Accidental cutting of the innervation of the clitoris during clitoral hood reductions also occurs. Meanwhile, patients are told there is no risk to sexual function. I don’t see this as much different than FGM.

This occurs do to a lack of training standards and lack of education in surgical anatomy. ACOG has actually been resisting a decade of ongoing efforts to standardize these procedures as part of CME. Experts have reported increasing numbers of botched procedures, which 100% preventable with training. One expert says ACOG is hopeless and will not change until they get sued.

Even more shocking is the lack of education in vulvar anatomy. The course of nerves and vessels along the clitoral bodies is omitted from GYN textbooks and journals.

The problem is simple: GYNs do surgery they aren’t trained to do on anatomy they do not know. This has gone on for 4 decades unchecked because medical leadership is too uncomfortable with female genitalia to address it.