Ask Dr. Poucher
Top Los Angeles Labiaplasty Surgeon

Can Vaginoplasty be Done While the Patient is Awake?

The Question

“I am seriously considering vaginoplasty – but I’ve read that you have to be “all the way under” to have it done. I am nervous about general anesthesia.”

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The Answer

By Dr. Courtenay Poucher, MD, FACOG, certified by the American Board of Obstetrics and Gynecology and the National Society of Cosmetic Physicians

This is an excellent question! I appreciate the opportunity to clear up a myth about vaginoplasty and other intimate surgical procedures.

In my practice as a board-certified labiaplasty surgeon, I’ve performed over 3,000 procedures – hundreds of them vaginoplasty – with only local anesthesia. This minimally-invasive procedure is done in-office – not a surgical center or hospital – and is painless, thanks to our specially-compounded numbing cream.

Our patients are wide awake throughout the entire procedure and often watch one of their favorite shows or movies during the treatment to pass the time.

Do you have a question about non-surgical vaginal rejuvenation, labiaplasty or other intimate surgeries you’d like answered by Los Angeles labiaplasty specialist Dr. Courtenay Poucher? Use our contact form to connect with us. We will answer as many questions via our blog as time allows.

Other Questions

I’d Prefer a More Tucked-in Appearance

"I'm very uncomfortable in tight pants, bathing suits - even some underwear. What's the best approach for labiaplasty? I want an "innie" - where all the tissue is "tucked in," and for the darker part of the skin to be removed. Can I get this procedure at 18 years old?"

Effects of Androgens

"After using androgens, my clitoris has become too large and looks like a small penis. I started treatment for vaginal laxity. Help!"

Labiaplasty & ThermiVa Planning

"How many weeks do I need to wait before getting a ThermiVa treatment after labiaplasty? I would like to tighten both my labia and vaginal canal."

2026-07-29T13:57:14-07:00
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