Perineoplasty Surgery 

Changes to the perineum after childbirth or injury can cause discomfort, scarring, or a feeling of reduced support at the vaginal opening. Perineoplasty is surgery to repair or reshape the perineum, the area between the vaginal opening and anus. For patients who are candidates for this procedure, it may improve comfort and restore support to damaged tissues.

Surgical Solutions Network offers private perineoplasty at Still Creek Surgical Centre in Burnaby, British Columbia, located in the Metro Vancouver area. Our surgical team will assess your concerns, explain your treatment options, and help you decide whether perineal repair is right for you.

Why Choose Surgical Solutions Network

Concerns about discomfort or changes after childbirth deserve a thoughtful assessment. Our team provides compassionate, patient-centred care in a respectful setting, with clear information about your diagnosis, the proposed repair, and what you can expect during recovery.

At Surgical Solutions Network, you can access care in a modern surgical facility with dedicated pre-operative and recovery areas. Our surgical team and healthcare professionals help you prepare for your procedure, understand your follow-up plan, and make informed decisions about your care.

Who We Help

We welcome patients from across Canada. Our intake team will confirm your eligibility for surgery and explain which records and assessments are needed for your surgical consultation. If you are travelling for surgery, our team will provide guidance on planning for your procedure and initial recovery.

Concerns Perineoplasty May Address

Perineoplasty may be considered for selected patients with:

• Changes to the perineum after childbirth-related tearing or an episiotomy
• Persistent discomfort associated with perineal scar tissue
• Poorly healed or separated tissues from a previous perineal injury or repair
• Reduced support at the vaginal opening related to a weakened perineal body

When Is Perineoplasty Recommended?

Perineoplasty may be recommended when an identifiable problem with the perineal tissues is contributing to symptoms and non-surgical care has not provided enough relief or is not suitable. Your consultation will include a review of your medical and childbirth history, an examination, and a discussion of your goals.

What Does Perineoplasty Repair?

The perineal body contains muscles and connective tissue that help support the vaginal opening. Perineoplasty focuses on this area, repairing weakened tissue and, where appropriate, removing troublesome scar tissue or excess skin. The extent of repair depends on your anatomy and the reason for surgery.

Perineoplasty focuses on the perineum and vaginal entrance. It does not reconstruct the full vaginal canal, as vaginoplasty may do. Prolapse or bladder and bowel control concerns may require a separate assessment and treatment plan. Your surgeon will explain exactly which structures will be repaired.

How Is Perineoplasty Performed?

Perineoplasty may be performed under local or general anaesthetic, depending on the extent of repair and your treatment plan. The surgeon makes an incision in the perineal area, removes or revises scar tissue where needed, and repairs the underlying tissues. The skin and tissue edges are then closed with stitches, commonly dissolvable sutures.

Your team will explain the expected length of stay and discharge arrangements before surgery. After the procedure, a support person must take you home.

Potential Benefits of Perineoplasty

Depending on the problem being treated, potential benefits include:

• Repair of damaged or poorly healed perineal tissues
• Improved support at the vaginal opening
• Reduced discomfort related to selected perineal scars
• Improved contour or alignment of the repaired area

Recovery After Perineoplasty

Swelling, soreness, and light bleeding or discharge may occur during early recovery. Healing commonly takes around six to eight weeks, although the extent of repair and your overall health affect the timeline. Your return to work will depend on your recovery and whether your job involves lifting or prolonged physical activity.

You will receive instructions on pain relief, keeping the area clean, and avoiding constipation or straining. Gentle walking is usually encouraged, while heavy lifting and strenuous exercise are restricted during healing. Vaginal intercourse, tampons, and menstrual cups should wait until your surgeon confirms it is safe, commonly at least six weeks after surgery. Pelvic floor physiotherapy may be recommended as part of your recovery.

Take the Next Step

If perineal scarring, discomfort, or changes after childbirth are affecting your daily life, our team can help you understand your surgical options. Contact Surgical Solutions Network to request a consultation and learn whether perineoplasty may be right for you.