The surgery takes place below the urinary meatus, down to the border of the perineal area and includes the fourchette. Incisions are made on each side adjacent and parallel to the labia minora. The structures removed are the hymen, mucous membrane, Bartholin glands ducts and minor vestibular glands. In some surgeries, the amount of tissue removed is not so extensive. Vaginal mucosa tissue remains attached and then is pulled downward to cover the area where tissue was removed. This surgery is also used to treat lichen sclerosus. "The complete surgery removes the entire lateral hymenal tissues to the lateral vestibular walls at Hart’s line, and involves removal of the entire posterior fourchette from the posterior hymenal remnants down to the perineum" which barring complications, enables the entire procedure to be over within an hour. The procedure involves minimal bleeding and is usually done using local anesthesia. The amount of tissue removed during the surgery can vary with respect to the pain.
Vestibulectomy
Lingual frenectomy
Bullectomy
Uvulopalatoplasty
Otoplasty
Frenuloplasty of tongue
Rhinoplasty
Cheiloplasty