Vaginoplasty, Perineoplasty and Hemorrhoid Tag Removal

Hello everyone,

I'm scheduled to have my vaginoplasty in 9 days and wanted to share my story with the hope of helping anyone thinking about doing the procedure. My backstory is that I am a 34 y/o mother of 4. I had all vaginal births. The birth weight of each child from oldest to youngest was 7lbs11oz, 8lbs10oz, 9lbs05oz, 7lbs,00oz.

With my first birth, I had an episiotomy. The doctor stitched me so tight that most of my stitches tore during a bowel movement even though I was on stool softener. I went to the ER and the doctor said it was better to let it heal open rather than re-stitching it because of all the damage. To this day I'm not sure if this was the right decision. I honestly didn't experience any vaginal symptoms other than extreme tightness for 6 months because the stitches closer to my vaginal opening stayed intact.

My problems truly started in 2015 with my 3rd child, who was 9lbs5oz. His head came down really quickly and I felt something 'snap' inside me. However, when I was checked after I had no tearing. I lost all feeling inside my vagina for about a year and also much felt looser. I regained full feeling around 2018-2019 but I constantly felt like my partner was going to slip out.

After my last child in 2019, who was the smallest, the slipping out feeling got worse plus I started to feel pressure in my rectum when having sex. I also had a hemorrhoid during my pregnancy that was the size of a large grape and left hanging skin after it disappeared. I really felt discouraged at this point and decided to look into getting things fixed.

At my consultation with Dr. G, he pointed out to me that my vaginal laxity was at least 3 fingers wide (I can fit 4 of mine) and I have a lot of scar tissue on my perineum from my births. He also noted the it's likely I had a muscle tear as my rectum is pushing up into my vagina. This most likely explains the ripping sensation I felt plus the pressure in my rectum during sex.

The plan is to reduce my vaginal width to about 2 fingers, repair my perineal muscles and cut out the scar tissue. I'm really looking forward to getting my life back because this with other body issues has weigh heavy on my self esteem and affected my sex life. My partner says he can't tell the difference but I definitely can.

I can't believe I am only 5 days out from surgery! I did my covid testing on Tuesday and received all my preop instructions. Here are so some pictures of the supplies I've purchased. It may seem like a lot but I'm also getting some other things done as well. I'm so excited and nervous at the same time!

Hi everyone. So I had my surgery and wanted to give you a day by day of my experience and recovery. I'm feeling kind of drowsy so please forgive me if my thoughts are some what scattered.
The day of my surgery I arrived at the clinic around 1230. I was scheduled to have surgery at 130 but it got pushed back to 3. I had a mommy makeover so my other surgeries were scheduled first and Dr. G was scheduled to do my vaginoplasty after. I met with him virtually to go over the plan and he answered my remaining questions.
All the staff were amazing and kind. I went into the OR and I was given a spinal first. After that, I was put to sleep and don't remember much after that. I woke up in recovery around 9 pm and my nurse really took good care of me. I just remember my throat feeling really dry because I was intubated. I stayed there for about 3 hours and she got me up to walk and try to urinate. I got really dizzy and sick when standing, I usually have a low blood pressure so that probably has a lot to do with it. It took me about 20 minutes to get any urine out because I also had a tummy tuck and couldn't use those muscles well. The pain was bearable at this point because I was given a lot of medications.
When I was discharged to my husband, my nurse told me to just take Tylenol (and not the Oxy I was prescribed) because she was afraid I'd get nauseous. She also told me to sleep on my back propped up. She meant well but this was really bad advice for me and things really took a horrible turn.
Firstly, when my pain meds started to wear off, I realized quickly that this was the worse pain I had ever been in in my life. It was to the point I thought being dead would have been better. Out of all the procedures I had done, the vaginoplasty was by far the most painful thing I've ever experienced. I thought that by having 4 kids that I was prepared for anything but this pain is much different and hard to describe. We had to call the clinic in the middle of the night and they said that I should not have been told to just take Tylenol, and that I need to be taking the Oxy every 4 hours on the dot. I had packing (gauze) inside my vagina that made it feel like a baby's head was stuck there and not coming out.
Laying on my back was also impossible because the pressure from my bum intensified the pain in my vagina and rectum. Once, I took my pain meds I felt much better and was able to sleep on my side but any pressures on my butt could be felt through the pain meds. I was told to come into the clinic the next day for an appointment where the would take out the packing and my other doctor would check my other incisions.
After the surgery, I was only able to stomach a piece of toast with some fruit. Because I have a binder on for my tummy tuck, this made me have to pee often and again my husband had to help my out of bed. I was also drinking a lot from being dehydrated. I was wearing a Depends underwear although there wasn't much bleeding. I would say the amount of blood on the underwear was similar to a light period.
At this point I would say, you definitely need help especially if your combining procedures. Not being able to use my ab muscles has made the experience a lot more difficult but by far the pain from the vaginoplasty and the packing inside was the hardest to deal with. My husband has to help me with everything from walking to even moving. His been managing my medications for me because I've been to drowsy and I'm honestly so grateful for him.