The craze for designer vaginas, already frowned upon by the medical establishment, has come in for further criticism.
The American College of Obstetricians and Gynecologists has come out strongly against such procedures like as "vaginal rejuvenation," "designer vaginoplasty" or even "revirgination," saying they are not medically necessary and are not guaranteed to be safe.
The procedures include changing the shape or size of the labia, "restoring" the hymen, and tightening the vagina
In guidance published in the September issue of its journal, Obstetrics & Gynecology, the group, known as ACOG, said the procedures can cause complications such as infection, altered sensation, pain and scarring.
Dr. Abbey Berenson, who helped write the guidelines, said some women may be fooled by deceptive marketing practices into thinking they need the surgery because they are somehow abnormal.
"Many women don't realize that the appearance of external genitals varies significantly from woman to woman," Berenson said in a statement.
Doctors who perform the procedures say the opinion from the American College of Obstetricians and Gynecologists is overly cautious. They say the procedures are safe and that more women are requesting such surgeries, having seen TV shows and magazines featuring them. The E! entertainment cable network's "Dr. 90210" reality-television program has spotlighted doctors performing genital surgery.
Dr. John Miklos, director of the Atlanta Urogynecology Associates, Laser Vaginal Rejuvenation Institute of Atlanta Medical Research Institute, is one of those who offer such procedures.