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Physically demanding work needs longer, typically 4–6 weeks."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication within 3 months (bleeding, infection, dehiscence, dyspareunia); serious ones under 2%"},"contraindications":["Pregnancy or plans for childbirth in the near future (relative)","Active genital or pelvic infection","Uncontrolled diabetes or other conditions impairing wound healing","Active smoking (relative; impairs healing)","Bleeding disorders or anticoagulation that cannot be safely managed","Body dysmorphic disorder","Undiagnosed vaginal bleeding or untreated cervical/vaginal pathology","Unfit for anesthesia"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge or one night of observation after uncomplicated vaginoplasty (vaginal tightening/repair)."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and heavy lifting after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves and tissue and scar maturation are largely complete by about 3–6 months."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually after the first postoperative check at 1–2 weeks, once bleeding settles and the surgeon clears travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative check, counted from surgery."}},{"purpose":"assessment","requirement":"conditional","after":{"min":42,"max":60,"unit":"days","qualifier":"Healing assessment and clearance for intercourse, usually done locally after return home."}}],"indications":["Vaginal laxity after childbirth or aging","Symptomatic widened vaginal introitus or canal","Reduced sexual satisfaction related to laxity","Symptomatic anterior or posterior vaginal wall relaxation"],"main_risks":["Bleeding or hematoma","Infection","Pain during intercourse (dyspareunia)","Excessively narrow vaginal opening or scarring","Wound dehiscence","Asymmetry or unsatisfactory result","Injury to bladder or rectum (rare)","Anesthesia-related risks","Fistula formation (rectovaginal or vesicovaginal) (rare)","Urinary problems (retention, infection or stress incontinence)"],"pain":"Moderate discomfort for the first several days, controlled with oral analgesics; pain generally settles within 1–2 weeks.","preparation":["Gynecological examination and cervical screening up to date","Preoperative blood tests and anesthesia assessment","Exclude active infection","Fasting before general anesthesia","Stop smoking before surgery","Plan surgery outside menstruation","Arrange transport and help at home after surgery","Review medications and supplements with the surgeon"],"recovery_timeline":[{"phase":"Days 0–6","description":"Rest, swelling and discharge, pain managed with oral analgesics.","restrictions":["No tampons or intercourse","Avoid heavy activity"]},{"phase":"Weeks 1–2","description":"Swelling and discomfort decrease; return to light desk work; sutures usually dissolve.","restrictions":["No lifting heavy objects","No baths or swimming","No tampons or intercourse"]},{"phase":"Weeks 3–6","description":"Gradual return to normal daily activity; exercise resumes progressively.","restrictions":["No strenuous exercise until cleared","No tampons or intercourse until surgeon clearance"]},{"phase":"Weeks 6–12","description":"Healing completes and final result becomes apparent.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Light daily activities resume in 1–2 weeks. 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A small perineal scar may remain if perineoplasty is added.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"surgery","label":"Vaginoplasty (vaginal tightening/repair) surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the initial procedure."}}],"qualifier":"One operation; routine postoperative checks are follow-up, not treatment sessions."},"success":{"metric":"Patient-reported improvement in vaginal laxity and sexual satisfaction","value":80,"unit":"percent of patients","horizon":"6–12 months","population":"Adult women with postpartum or age-related vaginal laxity","evidence_status":"limited"},"techniques":[{"name":"Posterior colporrhaphy with levator plication (vaginal tightening)","suits_whom":"Women with posterior wall laxity or widened vaginal canal after childbirth.","recovery":"Roughly 1–2 weeks to resume light activity, 6 weeks without intercourse."},{"name":"Perineoplasty / introital narrowing","suits_whom":"Women with widened vaginal opening or perineal scarring from childbirth.","recovery":"Similar to colporrhaphy; perineal tenderness for 2–3 weeks."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"One session under general anesthesia for colporrhaphy ± perineoplasty. Longer if combined with labiaplasty or other pelvic floor surgery."},"initial_assessment_documents":["Gynecological exam report","Recent Pap smear result","Obstetric history summary","List of blood thinners","Pelvic floor or prolapse assessment (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until first postoperative check. Later healing review can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team who will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check that you can ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the facilities and standards at the clinic or hospital are 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2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Check that the surgeon you consult with is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers, from the clinic or its sales contact","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"A website selling cosmetic surgery as part of a holiday","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Meetings only with sales staff, with no consultation with the surgeon","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people).","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F4","text":"Being asked to pay before you have met the 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swelling in your groin or lower leg.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pain not relieved by medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21572-vaginoplasty","host":"my.clevelandclinic.org","quote":"Pain that doesn’t respond to pain medications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Vomiting and unable to keep fluids down","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21572-vaginoplasty","host":"my.clevelandclinic.org","quote":"Vomiting and not being able to keep fluids down.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the 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