Is $7500 for a perineoplasty a high price? Does vaginoplasty usually cost less?

Question

I was wondering what the average price for a perineoplasty in California is. I was quoted $7500 by one provider for just a perneoplasty and a different provider gave me a quote of $5995 for a vaginoplasty. Does vaginoplasty usually cost less than a perineoplasty?

Marco A. Pelosi III, MD, FACOG, FACS · Answer

In California, $7,500 is slightly on the higher side if it’s a simple in-office procedure under local anesthesia, but it is very reasonable if it includes sedation or general anesthesia, facility and anesthesia fees, and an experienced specialist in this type of surgery

The most important clinical point is this: If you need a vaginoplasty but only have a perineoplasty, the result is often incomplete. Patients in that situation commonly say “the opening feels tight, but the inside still feels loose.” That happens because the internal support wasn’t corrected.

Here’s the bottom line: A true vaginoplasty is more comprehensive and usually includes a perineoplasty. A lower-priced “vaginoplasty” is often not the same surgery. The right procedure depends on your anatomy—not just the name or the price.
What should you do next?
The best starting point is a virtual consultation with a surgeon who specializes in these procedures. That allows you to:
•	Get a clear answer on what you actually need 
•	Understand exactly what each quote includes 
•	Avoid choosing the wrong procedure based on price alone 
If you’d like, I’m happy to review your goals and help you determine whether a perineoplasty alone or a full vaginoplasty would give you the result you’re looking for.

Courtenay Poucher, MD · Answer

Thank you for asking! Pricing in this space can feel confusing; it's important pause and compare.
Now, to your question.
On average, perineoplasty tends to cost less than vaginoplasty - but that's not always the case. In fact, in my practice, vaginoplasty is priced higher. 
Speaking generally, here's why you may find a lower-priced vaginoplasty - because not all “vaginoplasties” are actually true vaginoplasties and expertise matters.
A true vaginoplasty involves removal of lax mucosal tissue as well as tightening the deeper vaginal muscles (deep transverse perineal muscle), which requires significant surgical expertise and time. 
Some lower-priced “vaginoplasty” procedures may only tighten tissue at the vaginal opening (Perineum), rather than repairing the deeper muscles and the entire canal past the opening. These can be less effective at meeting a patient's "tightening" goals and may not provide long-term results.
Similarly, a properly-performed perineoplasty focuses on rebuilding and tightening the perineal tissue which includes skin, deep tissue and a complex of muscles (superficial and transverse perineal muscle)&mdash;a structurally-important part of the anatomy that supports both function and aesthetics. This highly-technical procedure requires meticulous skill and surgical experience. When done properly, this procedure will often lengthen the perineal body which is the distance between the vaginal and anal opening. The price you were quoted for this procedure aligns with what highly-skilled surgeons generally charge. 
In my practice as a board-certified labiaplasty surgeon, our pricing reflects both the depth of the repair and the level of specialization required to perform these procedures safely and effectively, optimizing your comfort and confidence. 
This is one of those times where comparing price alone can be misleading.
The best next step is to ask each provider what their procedure actually entails - specifically, whether muscle repair is included, how long their results typically last, how many of these procedures they have performed and their revision rate. 
You deserve a result that is aesthetically pleasing, structurally sound and functionally improved. 
Best Wished, 
~Dr. Poucher

Michelle Jones Singer, MD · Answer

Prices can vary quite a bit by region, surgeon experience, and what’s included in the procedure.
A perineoplasty is typically a smaller, targeted repair, while a vaginoplasty is more extensive so one isn’t consistently cheaper than the other across the board.
The most important step is to review exactly what each quote includes and discuss your specific goals and concerns with your physician so you can choose the right procedure for you.

Is $7500 for a perineoplasty a high price? Does vaginoplasty usually cost less?

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