Vaginoplasty/perineoplasty before or after next pregnancy (via c section)?

Thank you for the question. If you are planing for any future pregnancy and natural birth, then ai would definitely recommend you wait for after finishing your family plans. Vaginoplasty will help you to regain your pelvic floor support but it will be useless if you go for a vaginal birth. If you are still keen to get Vaginoplasty regardless, then you need to know that preserving the results would be possible only if you chose to go with an elective Caesarean section. This is obviously would be your personal choice.

Vaginoplasty results will be protected by a cesarean and they won't be ruined by the pregnancy. There are only 2 reasons to wait until after the cesarean: (1) you can't find a doc who is willing to do the cesarean for this purpose, (2) you're scared and don't believe that your vaginoplasty won't be ruined by the pregnancy. Both reasons are valid. Take your pick.