Beverly Hills Plastic Surgeon
416 North Bedford Drive, Suite 400
Beverly Hills, California 90210 US
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24 years experience
924 expert answers
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RealSelf community says

"As evidenced by so many women's tragic and painful experiences, a poor surgical outcome may not only result in physical disfigurement, but also in deep psychological/emotional trauma...." "He's very confident, which he should be, he's earned that right." "I wanted THE best person, what Dr.Alter definitively is for labiaplasty and corrective surgery."

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4.8 out of 5 stars 4.8 stars from 24 reviews See details Hide details
4.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Labiaplasty

36 Years Old Labia Revision, Umbilical and Scar Revision - Beverly Hills, CA

I think I said it all above. He is truly an artist. I wouldn't go to anyone else!! Well worth the money.

5 out of 5 stars Labiaplasty

Corrective Surgery After Botched Labiaplasty - Beverly Hills, CA

The key to a successful surgery is certainly to chose the most experienced and skilled doctor in the field, even if it means traveling and paying a lot more than what you expected. I wanted THE best person, what Dr.Alter definitively is for labiaplasty and corrective surgery. It totally worth it, i couldn't have wished for better results.

5 out of 5 stars Clitoral Hood Reduction

Clitoral Hood Repair and Reconstruction, Inner Labia Reconstruction, Outer Labia Reduction - Los Angeles, CA

The best surgeon one could every wish to meet with regards to skill and personality. I would advise anyone who is in need of similar surgery to only consider Dr Alter for his specialism in this field.

5 out of 5 stars Labiaplasty

Love my New Vag! - Beverly Hills, CA

Found out through my gyno.... and personal research about which doctor has the most experience. Although Dr. Alter was the most expensive, I chose him because I wanted the best. He generally invented most of the common procedures used today and even does transgender reassignment---if he can make a beautiful vagina out of a penis--surely my issue would be easy. He performs this surgery regularly and has amazing results. I didn't choose him because of his name, but because of his level of skill and expertise in this particular area. I also didn't want to have no inner labia left, just a more sized down version and many doctors simply remove most of it, this look was not for me. Dr. alter likes to maintain a more natural look, but will tailor things to your requests. I had the Alter-v technique (wedge). He also puts ZERO pressure on you to get the surgery, he simply answered my questions and made suggestions for what he could do to address my concerns.

25 Years Old. United Kingdom, GB

I need a clitoris reduction as well as a clitoropexy (clitoris shaft repositioned and reduced ) I have searched high and low and the only man I trust to do it is mr Gary alter he invented the procedure , how ever I Am in the uk and he is way out of my price range . Could any surgeon recommend surgeon here in the uk who is qualified to do the clitoropexy . It is such a sensitive area , there is...

5 out of 5 stars Clitoral Hood Reduction

Dr Alter is the Best at What He Does - Beverly Hills, CA

I had a clitoroplexy and Hood reduction (also clitoral reduction). Dr Alter was the only Dr I knew of that was qualified to do these procédures. He was polite, Professional and did a great job. He skill set above none. I felt in complete care in his hands. He provides phone consultations and is very quick to reply via email.

4 out of 5 stars Labiaplasty

Glad That I Did It, Everything Considered - Manhattan, NY

Overall I am glad that I did it. Doctor alter is pretentious and plastic at best and straight up unprofessional, egotistical and uncaring at worst. The results are worth it but you should definitely know what kind of person you will be interacting with considering you will be addressing such personal matters.

5 out of 5 stars Labiaplasty

30 Yo, Sick of Wearing Loose Pants - NYC

Dr Alter was absolutely wonderful. From the first email to him he always answers, himself, within a few hours usually. He even personally called me that night after my surgery (on a Friday night!) to check on me. His knowledge & skill makes him one of the best in the world with oth female & male genital surgery. I did have a cosmetic procedure in 2006 that did not go well with another plastic surgeon (lipo of upper arms) so although Dr. Alter is more expensive than most, for me I was willing to pay for his expertise, experience & knowledge (boy was there a HUGE difference in my experience this time around). I was worried, I had read some reviews that he was arrogant, especially as I was humiliated to begin with. I don't think he's at all arrogant!! He's very confident, which he should be, he's earned that right. He was incredibly down to earth, understanding & honest with expectations. Speaking to Dr Alter was actually the first time I had ever discussed this issue with anyone, ever, and he made me feel incredibly at ease. I'm sure he has to be a very busy man but he made me feel like I was his only patient taking time with me before and after surgery. Would also like to say Molly (the nurse at the surgical center in NYC) was excellent. I did feel at ease and comfortable with her before and after my surgery. I highly recommend Dr. Alter to anyone considering any type on gential surgery. You made have to travel & you may have to wait a little longer to save up the money but he is well worth it!! I really can't express in words how grateful I am to him and for the confidence & comfort he has given me (& that's at 12 days post-op, can't wait to really see the results at 3-6 months!)

5 out of 5 stars Labiaplasty

Labiaplasty Done Right!! New York, NY

He is kind and gentle and was very patient with me. He called and text me and was there to answer my questions post op. Office staff extremely accommodating and pleasant.

5 out of 5 stars Labiaplasty

Corrective Surgery After Labiaplasty - Beverly Hills, CA

Dr Alter- excellent surgeon. Amazing results. Very compassionate and generous with his time

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Urology and American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)

Awards & Recognition

RealSelf Top Doctor

Hospital Privileges

Dr. Alter has hospital affiliations at UCLA Medical Center, Cedars-Sinai, and Olympia Hospital in LA. Dr Alter invented and published the Wedge Technique for Labiaplasty, and is invited to lecture all over the world regarding genital surgery. He has written the only published article in a major medical journal for reconstruction of botched labias.


  • Undergraduate & Medical School

    Undergraduate: University of California at Berkeley
    Medical: MD, UCLA
  • Post-Medical School Training

    Urology, Baylor College of Medicine, Houston, Texas
    Plastic Surgery, Mayo Clinic, Rochester, Minnesota, 1992
    Fellowship: Genital Plastic Reconstructive Surgery, Eastern Virginia Graduate School of Medicine, Norfolk, Virginia

Treatments offered at Gary J. Alter, MD, with a main office as well in New York City

Most popular answers from Gary J. Alter, MD

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If I just have Labiaplasty without clitoral hood reduction, will I look like the second photo afterwards? (photos)

I believe I answered your question earlier. You will look close to that after photo if you have a central wedge labiaplasty and a clioropexy with hood... READ MORE

Tissue separated after Labiaplasty stitches removal and labia cut up in many pieces. What can I do? (photos)

I reviewed your photos. You had a trimming labiaplasty, and the sutures cause scalloping and bumps. However, no attempt to revise your labia should be... READ MORE

Am I a candidate for labiaplasty minora revision, labia majora reduction and clitoral hood reduction? (Photo)

Your goals are achievable. As the inventor and innovator of the wedge technique in 1994, I reconstruct many women who have had labia reductions by... READ MORE

Need labiasty revision. How bad was the job performed? What should I do? (photos)

It appears that most of your labia minora were removed, and you have significant clitoral hood remaining.  You had a trimming labiaplasty. The re... READ MORE

I'm a boy. How can I change into a girl?

To have SRS, you need to fulfill the requirements of the World Professional Association for Transgender Health, which includes living as a female for... READ MORE

Hate the way my skin on my labia hangs and is dark, only on one side. What could I do? Is this normal and common? (Photo)

I reviewed your photo. Your right labium is enlarged and dark compared to your left. One of the two most common techniques is the central wedge... READ MORE

I want my inner vaginal lips made smaller & to have my clitoris extended into a functional penis. What are the costs? (photo)

It is not possible to make your clitoris 5 inches in length even if you are on male hormones for a long time. If you wish a penis, you need to undergo... READ MORE

What are options to enhance my deflated and wrinkly labia majora? (photo)

I reviewed your photos. You have some excess labia majora skin with some deflation. If you have fat injections to plump up your majora, then your... READ MORE

What's the extra skin called above (but conncted to) inner labia and next to clitoral hood? (Photo)

The skin you are referring to is an extra fold of your clitoral hood connecting to your labium. I am the inventor of the central wedge labia reduction... READ MORE

Bad Vaginoplasty/Labiaplasty, In a Lot of Pain, Can This be Corrected?

You appear to have had a trimming labiaplasty and a perinoplasty. Your pain should significantly improve for the next 3-4 months. As for the... READ MORE

Before and After Photos by Dr. Alter

Gary J. Alter, MD has shared 13 before and after pictures with 87 helpful votes from the RealSelf community.

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Videos by Gary J. Alter, MD

Gary J. Alter, MD has shared 5 videos.

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Clitoris Reduction Benefits and Potential Results

Dr. Gary Alter describes the benefits of a Clitoris Reduction and who may be a good candidate. WATCH VIDEO

Reconstructing Failed Labiaplasty Procedures

Dr. Gary Alter explains why he sees failed labiaplasty procedures and what can be done, live from PSTM 2016. WATCH VIDEO

Differences in Labiaplasty Techniques

Dr. Gary Alter explains why a certain technique of labiaplasty will lead to less pain during recovery, as well as why a trained plastic surgeon should operate as opposed to a gynecologist. WATCH VIDEO

What Causes a Hidden Penis?

Dr. Gary Alter explains what the term "hidden penis" means, the issues that can arise from a chronically hidden penis, and what can be done to correct the issue. WATCH VIDEO

Reasons to Reduce the Size of the Clitoral Hood

Dr. Gary Alter explains his technique for reducing the size of the clitoral hood to make for a more attractive vagina and one that perhaps is no longer a physical obstacle for some women. WATCH VIDEO

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.