Jun 18, 2025 Response to the June 16, 2025 FIGO Publication
🚨 They say it’s unethical. They say it lacks evidence. But what they’re really afraid of… is women choosing for themselves.
In this explosive takedown of FIGO’s latest position on Female Genital Cosmetic Surgery (FGCS), Dr. Marco A. Pelosi III — master surgeon and global educator — exposes the hypocrisy, bias, and selective outrage behind the medical establishment's attacks on labiaplasty and other aesthetic gynecologic procedures.
🎯 Why does FIGO stay silent on breast implants and Botox, but condemn cosmetic vaginal surgery?
🎯 Is this about patient safety... or preserving power?
🎯 What’s the real agenda behind the “no medical indication” excuse?
🧠 What You’ll Learn in This Video:
The truth behind FIGO’s flawed ethics and medical claims
Why FGCS is held to a double standard in global medicine
The real-world evidence of safety, satisfaction, and autonomy
How the field of cosmetic gynecology has evolved over 25+ years
What critics won’t say about surgical training, consent, and outcomes
📚 Referenced Topics: Labiaplasty • Vaginal Rejuvenation • Cosmetic Gynecology • Surgical Autonomy • FGCS Ethics • FIGO Rebuttal • Informed Consent • Medical Paternalism • Women’s Health Rights
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Ethical concerns in female cosmetic genital surgery
FIGO 16 June 2025 Abstract
Cosmetic genital surgeries in women—such as labiaplasty, clitoral hood reduction, hymenoplasty, vaginoplasty, and laser-based procedures—have seen a notable rise in popularity in recent years. In response, the FIGO Committee for Ethical Aspects of Human Reproduction and Women's Health has published a new statement in the International Journal of Gynecology & Obstetrics (IJGO), raising serious ethical, medical and societal concerns. The committee calls for increased caution and better-informed patient care.
Recommendations include:
Ensuring patients understand that cosmetic genital procedures are not medically indicated.
Educating about natural variations in genital anatomy.
Screening for underlying psychological issues such as body dysmorphic disorder.
Avoiding surgical interventions in adolescents unless thoroughly justified.
Promoting transparency in marketing and discouraging misleading claims.
“Cosmetic genital procedures are ethically permissible if four ethical criteria outlined by FIGO are met; (1), it is not medically necessary, (2), there is evidence-based clinical validation proving the procedure’s safety and effectiveness, (3), risks and complications should be minimised, (4), the patient must provide informed and voluntary consent.
Due to the lack of strong evidence supporting the claim that cosmetic genital surgery is safe and effective, the second criterion is not fulfilled. Consequently, FIGO asserts that it is ethically inappropriate for obstetrician gynaecologists to recommend, perform or refer patients for these procedures."
Dr Lourdes Capito, Lead Author
The statement emphasises that these procedures are not medically necessary and often carry risks including infection, dissatisfaction with outcomes and changes in sexual function. Key ethical principles such as autonomy, non-maleficence and justice are also explored in depth. While respecting a woman's right to make decisions about her body is vital, the paper highlights how societal pressures can distort autonomous decision-making. The potential for physical harm, psychological distress and widened health disparities—especially among adolescents—requires cautious, ethical consideration.
This comprehensive review urges clinicians to prioritise evidence-based care, accurate information, and ethical responsibility over commercial interests. By doing so, healthcare professionals can help women make truly informed decisions while protecting their physical and psychological well-being.
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