(FGCS) surgery to alter the size or shape of the *vulva and/or vagina when these are a cause of significant distress or sexual dysfunction. FGCS includes labioplasty (reduction or alteration of the labia), clitoral hood reduction (excision of excess skin in the fold surrounding the clitoris), and hymenoplasty (partial or complete reconstruction of the hymen).... female genital cosmetic surgery