It has been 16 years since I did my first labia reduction surgery.
I remember clearly the conversation I had with Lolly, a 43 year old who was distraught after having a simple Vulvectomy by a colleague of mine at Sunnybrook hospital.
On the day of her surgery I happened to be the Fellow who assisted Dr X with an incontinence surgery procedure. Once this was completed, almost as an afterthought, Dr X did a simple Vulvectomy, or excision of her inner labia which were too long and Lolly wanted this corrected.
The result was not expected nor wanted. Her new labia were of unequal size and there were rail track like indentations and scarring where the sutures had been.
Lolly was so upset. I remember her saying to me that she cannot possibly have sex with her husband again, as she was so embarrassed by the unfortunate result.
“She had lost her libido and sexual / genital confidence. It was then that I decided to perfect a technique that resulted in none or very rare scarring and asymmetry
Fast forward 16 years and numerous procedures. Although I do many Vulva and Gynecology procedures, some for diagnosing cancer, others are surgery for precancer, or even procedures for helping women become pregnant, I can honestly say that Labiaplasty is often the most gratifying of them all.
Not that I have saved a life, but rather because I feel I have provided some women with a new found confidence of their genital area. Which has led to increasing their sexual confidence, more excitement to enter new relationships, the ability to have more satisfying sex by increasing sense of enjoyment and a resulting heightened orgasm.
Dr David Gerber, MD, MHSc, FRCS(C)
Dr David Gerber, MD, MHSc, FRCS(C), has been a gynecologist since 1997. He trained in Obstetrics and Gynecology at the University of British Columbia in Vancouver. He is an expert in minimally invasive clinic based surgery, procedures for fibroids, heavy vaginal bleeding, vulva disease and precancerous lesions of the vulva, vagina and cervix (abnormal pap tests), he has developed a successful micro-surgical technique for labia reduction surgery, and has become a resource for this condition.