โ€œYou desire to look beautiful from the outside,โ€ doctor Sejal Desaiโ€™s website tells potential clients. โ€œNow you can choose to look beautiful from the inside too.โ€

The photographs of vaginas that cover one wall of Desaiโ€™s consulting room in Sarla Hospital in the Mumbai suburb of Santacruz illustrate exactly what she means. Each picture bears a tag: โ€œbeforeโ€ or โ€œafter.โ€

Potential clients โ€œlook at the photos and start opening up,โ€ said Desai.

What they open up about is their desire to have โ€œdesigner vaginasโ€ of the sort Desai has depicted on the wall and on her website.

To help clients get from โ€œbeforeโ€ to โ€œafter,โ€ Desai, who claims to be Indiaโ€™s first โ€œaesthetic vaginal surgeon,โ€ offers a range of procedures.

She performs complicated surgeries to unhood the clitoris and remove or trim the vaginal labia. She surgically reshapes the labia majora, the externally visible portions of the vulva, to create a single-creased vagina free of wrinkles. She tightens vaginas โ€œfor enhanced sexual arousal and pleasure or to correct age-related sagging and wrinkles which need to be lifted and filled.โ€

Some vaginal surgeries allow women to achieve what Desai calls the โ€œBarbie look.โ€ She explained: โ€œBarbie look is like having the vagina of a newborn.โ€