Soaring Demand for Female Genital Surgery Sparks Debate in Brazil


In Brazil, labiaplasty is still not as popular as liposuction or silicone implants – there were more than 200,000 of those procedures each in 2016. But the spike in popularity is likely not just due to celebrities

Darlane Andrade, a gender studies professor at the Federal University of Bahia, said women in Brazil face increasingly sexualized ideals of beauty transmitted through pornography, coupled with a uniquely Brazilian pressure to be physically perfect.

“It is the culture of the Brazilian woman being sexualized, that she must have a body and genitalia that are sexually attractive,” Andrade said, expressing skepticism that the procedure’s popularity was due to growing female liberation.



If the woman is seeking to please a man, Andrade asked: “What sort of empowerment is that?”



Fernanda, a 33-year-old dentist living in Sao Paulo, had the surgery in July along with her twin sister Bruna. She said she had felt self-conscious about the appearance of her labia as a single woman and was relieved to get married four years ago.

But then, around a year ago, her husband made a comment that led her to opt for surgery.

“My husband said, ‘wow, it looks like a hanging bag … I’ve never seen anything like that,'” said Fernanda, who asked to have her last name omitted. “I would look in the mirror and think: ‘It really does look like a bag‘.”


She said the procedure took under an hour, caused minimal pain, and she is pleased with the result

Fernanda first heard of the surgery from Brazilian reality TV star Geisy Arruda, who said in a 2012 interview that it turned her private parts from a “cauliflower” into something more akin to a budding rose.

Sergio Almeida, an economics professor at the University of Sao Paulo, said the rise in demand despite the recession may be in part because Brazilian women who would have otherwise undergone the procedure in the United States, a popular cosmetic surgery destination, are saving money by doing it at home.

While the procedure – which some doctors warn can cause scarring or infection – costs some 6,000 to 12,000 reais ($1,900 to $3,800) in Brazil, U.S estimates range from $2,600 to $7,200.



Another possible explanation, Almeida said, is that cosmetic surgery is so important for consumers they are willing to sacrifice other luxuries to afford it.

Demand for plastic surgery in Brazil rose 18 percent in 2016, even as the wealthiest class saw its real income hardest hit, according to consulting firm Tendencias.

Bruna, Fernanda’s sister who works as a federal tax employee in Sao Paulo, agrees.

“Even in times of crisis, people, especially women, don’t stop taking care of aesthetics,” she said. “You economize precisely to be able to do these sorts of things.”


(Reporting by Alexandra Alper; Additional Reporting by Bruno Federowski; Editing by Daniel Flynn, Rosalba O’Brien and Susan Thomas)