Research studies and data from international plastic surgeon associations show female genital surgery, for both cosmetic and medical reasons, is on the rise in various countries around the world, from the U.S. to Australia.

And it’s something local plastic surgeons are noticing as well. As the Society of Obstetricians and Gynaecologists of Canada states in a 2013 policy statement, the increasing number of female genital cosmetic surgery procedures available to Canadian women also include clitoral hood size reduction, perineoplasty, vaginoplasty, hymenoplasty, and G-spot augmentation — procedures which typically cost anywhere from $3,000 to more than $6,500, depending the type of surgery, the patient’s individual needs, and the clinic providing it.

When it comes to labiaplasty, many women request the procedure for medical needs, because of friction, rashes, irritation, or pain during intercourse, says Dr. Mitchell Brown, a plastic and reconstructive surgeon and an associate professor at the University of Toronto. The vast majority of women considering the procedure are older and post-kids, he says.

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