What is a perineoplasty?

Surgical repair of the perineum and vaginal opening — often appropriate after childbirth, episiotomy or perineal tear, or for scar tension and tissue laxity.

What does the procedure cost?

Perineoplasty from CHF 4,000. Perineoplasty with vaginoplasty CHF 5,450 – 5,800, depending on findings and extent. You receive an itemised quote after the consultation.

Is the procedure painful?

It is performed under local anaesthesia, with sedation available depending on findings. Swelling, tightness and wound discomfort afterwards are common and covered by your aftercare plan.

When does an additional vaginoplasty make sense?

Only when examination shows the symptoms genuinely stem from vaginal laxity or tissue insufficiency.

Is vaginoplasty ever performed on its own?

No — we do not offer it on its own. In our practice a stable perineal repair is the foundation; whether an additional vaginoplasty is appropriate is decided by examination.

Is perineoplasty cosmetic surgery?

Not primarily. The focus is usually functional repair; aesthetic aspects are taken into account alongside it.

How does this differ from pelvic floor surgery?

Pelvic floor surgery treats prolapse or relevant incontinence and follows an entirely different surgical logic.

Can it be combined with labiaplasty?

Yes, where indicated — for example with labial asymmetry, redundant tissue or scar tension.

What happens at the first consultation?

History taking, a gynaecological examination and an explanation of the anatomical findings, with a clear view on whether surgery is medically appropriate.

Can I have a video consultation?

Video consultations are offered only to patients based abroad, as a non-binding first conversation. Patients in Switzerland are seen at the practice.

What is the cancellation policy?

Consultation appointments can be cancelled free of charge up to 24 hours in advance. For later cancellations or non-attendance, a fee of CHF 100 applies.

When is the follow-up?

The first review is at about 2 weeks, a further one at 6–8 weeks. Additional appointments are available at any time if needed.

Praxis Dr. Wagner.Art of Gynecology · Basel

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Perineoplasty & Vaginoplasty · Basel

Perineoplasty and vaginoplasty in Basel.
For scarring, instability or a changed vaginal opening.

Specialist assessment and reconstruction of the perineum and vaginal opening — after childbirth, episiotomy or perineal tear. Performed personally by Dr. Anna M. Wagner, MD.

FMHOperative gynaecology

Book a specialist assessment +41 61 666 62 10

Dr. med. Anna M. Wagner — Fachärztin FMH, Praxis Basel — **Dr. med. Anna M. Wagner**FMH specialist · Operative gynaecology · Basel

FMH Board-certified in gynaecology and obstetrics20 years surgical experience in hospital and practice10 years own practice in Basel3719 reviews on DoctenaEN / DE Consultations in English and German

SettingOutpatient in Basel

Duration60–120 minutes

AnaesthesiaLocal anaesthesia, optional sedation

Recoveryapprox. 6 weeks until clearance

Costfrom CHF 4,000 · combined CHF 5,450 – 5,800

LocationSpalenvorstadt 3, Basel

The essentials

What a perineoplasty involves.

Perineoplasty (perineal repair) reconstructs the perineum and vaginal opening — usually after childbirth, an episiotomy or a perineal tear: scar tension, pressure, redundant tissue or a vaginal opening that feels too wide.

We do not offer vaginoplasty on its own. Whether it is additionally appropriate is decided by perineal stability, pelvic floor and examination — after prolapse and incontinence have been ruled out.

Where indicated, tightening of the posterior vaginal wall is added (vaginoplasty).

Labial or scar correction can be carried out in the same session — one operating day, one recovery.

Scar symptoms after episiotomy or perineal tear

Pressure and friction

Scar-related pain at the vaginal opening after childbirth, perineal tear or episiotomy

A vaginal opening that feels too wide

Asymmetry or scar tension

Reconstruction after FGM (individually assessed)

Note: The goal is not a cosmetic ideal but a functional repair: less tension, less friction, better support.

Fees

Individual — depending on findings.

You receive an itemised quote after your consultation. All prices include VAT.

Initial consultation (medically indicated)

Initial consultation billed via health insurance (deductible/co-payment may apply)

Covered by insurance

Initial consultation, self-funded

without insurance cover, e.g. patients from abroad

CHF 195

Perineoplasty

depending on findings

from CHF 4,000

Perineoplasty with vaginoplasty

one appointment, one recovery

CHF 5,450 – 5,800

Combined reconstruction

additional labial or scar correction in the same session

individual quote

Follow-up appointments

included in the procedure fee

included

Note: Where medically indicated, the initial consultation is billed under Swiss basic health insurance; deductible and co-payment may apply. The procedure itself is usually self-funded. Where symptoms are clearly functional, we assess insurance coverage case by case. Without insurance cover — for example for patients from abroad — the initial consultation costs CHF 195.

Clear costs before you decide.

In the consultation we clarify findings, approach and exact costs — in writing and binding.

Book an appointment

Dr. Wagner in the OR with surgical loupes — In the OR — precise surgery with surgical loupes.

Expertise

Operative gynaecology for sensitive reconstruction.

What matters is precise anatomical assessment, surgical experience and realistic planning. Consultation, surgery and follow-up are handled personally by Dr. Anna M. Wagner, MD.

FMH board certification

Board-certified specialist in gynaecology and obstetrics (FMH), with a subspecialty in operative gynaecology.

Alinsod Institute (USA)

Advanced training in aesthetic and reconstructive vulvovaginal surgery with Dr. Red Alinsod.

Personal continuity

Personal continuity from consultation to follow-up — the same physician throughout.

Professional background and memberships

Board certification

Specialist in gynaecology and obstetrics (FMH, 2013), subspecialty in operative gynaecology and obstetrics.

Clinical career

Inselspital Bern, Biel Hospital Centre (senior physician), University Hospital Basel — in private practice in Basel since 2016.

Alinsod Institute (USA)

Preceptorship in aesthetic vulvovaginal surgery with Dr. Red Alinsod.

Memberships

FMH · SGGG · ESAG · ISCG · AAVS · SGML.

Safety and limits

Not every symptom has a surgical solution. Significant prolapse, relevant incontinence, active infection, vulvodynia, chronic pelvic pain or dyspareunia that is not scar-related, as well as unrealistic expectations call first for further assessment, conservative treatment or a different surgical strategy.

Discretion

A private practice setting in Basel, confidential correspondence and no names called in the waiting area.

What to expect

From assessment to recovery.

Consultation at the practice

History, symptoms, expectations and limits. No surgery without a clear medical indication. A physical examination is required before any reliable assessment.

Examination and surgical plan

Assessment of scarring, perineal support, vaginal calibre, pelvic floor and any prolapse, followed by an individual plan — perineoplasty alone or with vaginoplasty.

III

Outpatient surgery

Performed as day surgery in Basel under local anaesthesia, with sedation available depending on findings. Usually 60–120 minutes.

Follow-up

Review appointments, clear aftercare instructions and wound care. First review at about 2 weeks, a further one at 6–8 weeks. Intercourse and tampons usually only after 6–8 weeks; exercise after about 4–6 weeks depending on the load, saddle sports (cycling, riding) rather after 8 weeks — each after medical clearance.

Risks and recovery

What is possible — and what you should know.

Every operation carries risks. We discuss them in detail and in writing before surgery. Long-term outcome data in reconstructive intimate surgery is limited — that is part of the counselling too.

Possible complications

Bleeding, haematoma, infection, delayed wound healing or wound dehiscence. Very rarely injury to bladder or bowel, or a rectovaginal fistula.

Scars and tissue

Scar tension, firm scars or asymmetry can occur.

All risks and the healing course in detail

Sexuality and sensation

Temporary or, rarely, persistent pain during intercourse (dyspareunia) and changes in sensation are possible.

Over- or under-correction

The result can differ from the goal; relevant narrowing of the vaginal opening or under-correction makes a revision necessary in individual cases.

Course of healing

Intercourse and tampons usually after 6–8 weeks, exercise after about 4–6 weeks depending on the load, saddle sports rather after 8 weeks. Swelling, tightness and scar maturation settle more slowly; final tissue stabilisation takes several months.

Please contact the practice immediately in case of fever, increasing pain, heavy bleeding or wound problems.

Difference from CO₂ laser

Surgical reconstruction and CO₂ laser therapy (Candela) serve different purposes.

	Perineoplasty	CO₂ laser (Candela)
Tightening of perineum and introitus	✓ structural	no surgical or lasting anatomical reconstruction
Scar correction after childbirth	✓ surgical	superficial scar and mucosal treatment, no surgical reconstruction
Anatomical reconstruction	✓	no
Vaginal laxity	✓ (with vaginoplasty)	no lasting narrowing; SGGG gives no recommendation for laxity or prolapse
Mucosal symptoms and dryness	no	alternative for GSM — particularly where hormones are not wanted or not possible
Mild stress incontinence	limited	possible alternative for mild to moderate SUI (conditional SGGG recommendation)
Procedure	Surgery under local anaesthesia	Outpatient, no anaesthesia
Downtime	approx. 6–8 weeks	practically none
Sessions	1	usually 3–4 sessions at monthly intervals
Duration of effect	Long-lasting; ageing and subsequent births can affect the result.	effect declines after about 1–2 years; top-up depending on symptoms
Side effects	surgical risks, see risks section	rare, mostly mild and temporary
Result	structural change in anatomy	possible improvement of mucosal symptoms, no narrowing

The two can complement each other: perineoplasty for anatomical reconstruction, CO₂ laser for mucosal symptoms. According to the SGGG (expert letter No. 98 of 17 June 2026), vaginal laser therapy is beginning to establish itself for GSM and mild stress incontinence; it is neither a standard nor a first-line therapy and does not replace anatomical reconstruction. The decision follows an individual examination and full counselling.

FAQ

Frequently asked questions.

Voices

What patients say.

Excerpts from verified reviews on Doctena. For discretion, we display initials only.

05/2026

„I love coming here as I always feel I'm being listened to and my concerns are taken seriously. I never need to feel embarrassed and I'm always left with feeling that I am being helped and in good hands."

06/2026

„I had an initial consultation regarding a failed surgery by another doctor. It was wonderful to feel taken seriously and understood — which was the case here."

06/2026

„Would highly recommend Dr. Wagner — she and her team are very kind and professional."

06/2026

„My questions were taken very seriously and answered thoroughly. In the end, only to be recommended."

S. D.

06/2026

„Competent consultation, very friendly team, clear communication — happy to return."

Source: 4.9 out of 5 from 3'719 reviews on Doctena (as of August 2026)

Still a question open?

Whatever is not answered here we discuss in person — confidentially and without rush.

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No obligation to proceed.

Book a consultation at the Basel practice online. You will learn everything you need to know — and then decide in your own time.

Consultation at the practice·Initial consultation billed via health insurance (deductible/co-payment may apply)·Video consultations for patients abroad·Spalenvorstadt 3, Basel

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