As a branch of plastic and cosmetic surgery, gynecological plastic surgery has developed rapidly in recent years, with many plastic and cosmetic salons carrying out gynecological plastic surgery, and more and more cosmetic plastic surgeons getting involved in the field. And the majority of women’s desire for a better life and a good desire for beauty. To the gynecological plastic surgery market has brought huge business opportunities. However, due to the many non-gynecological cosmetic plastic surgeons for gynecological cosmetic plastic surgery, and even some unqualified doctors also joined the ranks of gynecological cosmetic plastic surgery, making the professional quality and level of gynecological cosmetic plastic surgeons vary, surgery in the concept and method of many problems and hidden dangers. Clinical gynecological cosmetic surgery failure cases are common, including vaginal tightening, labia minora reduction and hymen repair problems are most common, resulting in surgical failure due to 1, incorrect surgical methods lead to poor or invalid clinical results after surgery; 2, incorrect surgical methods lead to normal physiological function damage after surgery; 3, the application of clinically immature filling technology leads to Surgical failure, etc. The economic burden and mental, psychological, physiological and physical pain caused by the failed surgery should draw the attention and self-awareness of the majority of gynecological cosmetic surgeons. One of the main structures that maintain the vagina in its normal anatomical position, elasticity and contractility are two kinds of suspension structures, including various ligaments, of which the main ligament of the uterus and the uterosacral ligament are the most important, which maintain the uterus and vagina in a normal plane; the other is the muscle and fascia supporting tissue covering the pelvic floor, of which the anal levator muscle is the most important, which supports the vagina from below. They are the main muscles that contract the vagina and are also called vaginal dilators. During vaginal delivery, fetal head pressure and suction or forceps can cause laxity of the supporting ligaments and tearing of the pelvic floor muscles and fascia, resulting in damage to the pelvic floor tissue. In addition, as women age, ovarian function gradually decreases and estrogen secretion decreases, causing degenerative changes in the supporting structures such as muscles, fascia and ligaments, decreasing muscle tone, thinning fascia and atrophy of the vaginal mucosa, making the vagina more lax and less elastic. Vaginal laxity does not produce enough friction and contraction during sex, low pressure in the vagina and pelvic cavity, dull or non-responsive to stimulation, and difficult to achieve orgasm or even no orgasm. Therefore, the key to treating vaginal laxity is to repair the damaged muscles and fascia of the pelvic floor and restore the contraction and elasticity of the vagina. Thus, the goal is to improve sexual life. The main reasons for the failure of vaginal tightening in most clinical cases are as follows: 1. The operator does not know enough about the physiological anatomy of female reproductive organs and has little knowledge of the pathogenesis of vaginal laxity. Therefore, the surgery does not match the anatomical and physiological principles and leads to the failure of the surgery. The patient, a 42-year-old female, was twice treated with “vaginal tightening surgery” in a cosmetic surgery institute in March and August 2002 because of vaginal laxity affecting the quality of sexual life and tonic incontinence. The patient was embarrassed, and tension incontinence still existed. On examination, the specialist found that the vaginal opening was ectopic, the distance between the vaginal opening and the anus was shortened to about 2 cm (normal is about 4 cm), the anterior vaginal wall was mildly to moderately bulging, the lower part of the lateral vaginal wall on both sides could be seen as a 3-4 cm longitudinal scar, the lower part of the posterior vaginal wall was replaced by a thin and inelastic scar tissue, part of the anal levator muscle was broken, and the vaginal contraction was weak. In this patient, a large portion of the mucosa of the lower posterior vaginal wall was removed during the first surgery, but the muscles and fascia of the pelvic floor were not repaired, especially the levator muscle. This results in no improvement of postoperative vaginal laxity. The patient’s lower vaginal wall mucosa was also partially removed, analyzed as having been removed during one of the two previous “vaginal tightening” procedures. The mucosa of the lateral wall has little effect on the contraction and elasticity of the vagina, and without repairing the damaged and relaxed muscles and fascia of the anterior and posterior walls of the vagina, removing the mucosa of the lateral wall alone will have little effect on vaginal laxity. The long term damage to the patient is even greater because the vaginal mucosa is removed in a large area during the procedure. After menopause, women experience atrophy of the vaginal mucosa due to a significant decrease in estrogen levels, which results in a decrease in elasticity and vaginal discharge. Even in those without vaginal mucosa loss, symptoms such as vaginal dryness, difficulty in intercourse or painful intercourse may occur after menopause as a result. Therefore, incorrect surgical methods can lead to premature difficulty in intercourse or painful intercourse due to vaginal mucosa atrophy. 2. The operator lacks knowledge of female reproductive physiological functions, and the surgery does not restore normal reproductive physiological functions anatomically, resulting in surgical failure. Most scholars believe that the main factors to produce female orgasm are normal vaginal contraction and elasticity, sufficient vaginal friction, strong contraction of vaginal and pelvic floor muscles and pressure in the pelvis and vagina, and the mood and emotion of both partners, among which vaginal contraction and elasticity are the main factors. The main basis for normal elasticity and contraction of the vagina are the muscles and fascia of the pelvic floor, especially the contraction of the levator ani muscle. If the surgery only reduces the opening of the vagina or removes the mucous membrane of the posterior wall of the vagina without repairing the muscles and fascia of the pelvic floor, without restoring their elasticity and contractility, especially without repairing the anterior vaginal wall and the levator ani muscle, then the whole vagina will not be able to contract during sexual intercourse and produce enough contraction and friction, and it will be difficult for both partners to achieve orgasm and sexual harmony. This is the main reason why most vaginal tightening cases fail. 3. Not understanding the pathogenesis of female tension incontinence and not mastering the principles and methods of surgical treatment of female tension incontinence. Improper selection of surgical indications led to surgical failure. Patient Female, 49 years old, with tension incontinence due to vaginal relaxation, resulting in a decrease in the quality of sexual life of the couple. At the same time, tension incontinence caused a lot of inconvenience to the patient’s normal life, which led to a strong sense of self-pity and psychological pressure. In May 2003, the patient underwent “vaginal tightening” in a beauty salon. After the surgery, the patient’s tension incontinence did not improve and the vaginal laxity was the same as before. The patient was found to have fused the lower part of the labia minora bilaterally, making the perineal body about 5cm wide (normal 3-4cm), the posterior perineal union covering part of the vagina, moderate bulging of the anterior vaginal wall with urethra and bladder bulging, the lower part of the posterior vaginal wall to the vaginal opening replaced by smooth and inelastic scar tissue, a local subcutaneous emptiness of the perineal body, partial rupture of the anal levator muscle, and extremely weak vaginal contraction. There are many anatomical causes of female tension incontinence, among which damage to the pelvic floor muscles and fascia caused by vaginal delivery or relaxation of the pelvic floor muscles and fascia due to decreased female hormone levels is one of the main causes. As the urethra and bladder lose the support of the pelvic floor muscles and fascia, their normal physiological anatomical position is changed, the posterior angle of the bladder urethra disappears, the compression force in the urethral compression zone is weak, and the internal pressure in the urethra decreases, which, together with the reduction in the closing effect of the urethral canal lumen, leads to tension incontinence. One of the treatment options is through repair of the muscles and fascia of the anterior vaginal wall, a procedure that requires extensive urogynecologic expertise and surgical experience on the part of the surgeon. In this case, the surgeon did not repair the anterior vaginal wall, but only contracted the posterior vaginal wall and reduced the vaginal opening, which had no therapeutic effect on the tension incontinence, and the patient’s tension incontinence symptoms persisted after surgery. Therefore, the symptoms of tension incontinence still exist after the surgery. 4. The operator does not know enough about the normal form and physiological function of female reproductive organs. The surgery destroys the normal anatomical and physiological functions and leads to failure. Patient Female, 33 years old, had not been sutured for perineal tear caused by vaginal delivery, and gradually felt vaginal laxity after delivery with decreased quality of sex life, which caused great psychological pressure and low self-esteem. After the surgery, the patient suffered from poor discharge of menstrual blood during menstruation, recurrent vaginal and urinary tract infections before and after menstruation, and she was unable to have a normal sex life because of difficulty in penetration and painful intercourse. The fused lower part of labia minora was surgically fused and the distance between the vaginal opening and the anus was widened by about 6cm (normal width is about 3cm), the fused lower part of labia minora formed a curtain to cover the whole vaginal opening, the navicular fossa was about 3.5cm deep, a lot of yellowish-green discharge was accumulated in the fossa, the odor was bad, the urethral opening was immersed in purulent leucorrhea, the mucous membrane of the urethra was red and swollen, the vaginal opening was narrowed so that the vaginal speculum could not enter the vagina normally. The lower part of the posterior vaginal wall was covered by thin and inelastic scar tissue, most of the anal levator muscle was broken, the subscars were hollow, local tenderness was strong, and the whole vaginal mucosa was congested. In order to reduce the vaginal opening, the operator sutured the lower part of the labia minora on both sides, so that the vaginal opening was covered by the fused lower part of the labia minora, which resulted in poor outflow of menstrual blood and normal vaginal secretions, and the vaginal secretions were stored in the deepened navicular fossa and the vagina could not be discharged and became infected with bacteria, so that the urethra was immersed in vaginal inflammatory The urethra is immersed in inflammatory vaginal secretions and recurrent vaginitis and urinary tract infections occur over time. The posterior perineal union is too high and covers the vaginal orifice due to the surgery, resulting in difficulty in penetration and painful intercourse. 5. The operator does not understand the performance of the new technology adopted by himself and blindly uses it without practical clinical experience, resulting in surgical failure. The patient, 31 years old, felt that her vagina was loose and the quality of her sex life had decreased, so she underwent “vaginal injection reduction by Ingelfahrer” in a beauty salon in 2002. The patient was extremely depressed. On examination, the patient was found to have a bulge in the bladder area of the anterior vaginal wall and in the upper part of the posterior vaginal wall near the posterior vault, with local cystic fluctuation during internal examination. The patient’s condition was attributed to the fact that the injection of “Ingelfahrer” into the vaginal wall, due to its fluidity, was stimulated and pushed by sexual intercourse, and the injection fluid flowed to the posterior bladder area and the rectal section of the posterior vaginal wall, where the tension was low and the tissue was lax. The feeling of falling. According to recent clinical reports of cosmetic injections with “Ingil Farrer”, about 3.16% of patients experienced various complications such as local sterile inflammatory reactions, hematoma, infection, sclerosis, and fibrous tissue growth and contracture after receiving injections. It is difficult to completely remove the hydrogel from normal body tissues due to the formation of multi-capsular “honeycomb-like” structures of varying sizes after injection. Therefore, the use of this method for vaginal injections to reduce the size of the vaginal cavity is very risky and can lead to urethro-vaginal leakage or vaginal-rectal leakage in the event of inflammation, infection, sclerosis or rupture of the injection site, with unthinkable consequences. Even without these comorbidities, this method does not achieve the goal of vaginal cavity reduction. Since the damaged muscles and fascia of the anterior and posterior walls of the vagina are not repaired, the fluid injected into the lax vaginal walls will be more convex into the bladder and rectum during intercourse, thus causing the patient to experience a sensation of stooling and dropping during intercourse. Another female patient, 44 years old, felt that her vagina was loose and the quality of her sex life had decreased. In 2003, she underwent “vaginal injection tightening” in a beauty salon, but her vaginal laxity did not improve after the surgery. On examination, the specialist found that the patient had an old perineal laceration of degree II, the lower mucosa of the posterior vaginal wall was thin, smooth and inelastic, the submucosa was hard and painful to touch, and the anterior vaginal wall was mildly to moderately lax. The patient’s first vaginal tightening procedure failed because it did not repair the damaged pelvic floor muscles and fascia. The second injection of the posterior vaginal wall was a tissue sclerosing agent, which the surgeon tried to contract the vagina by sclerosing the posterior vaginal wall tissue with the sclerosing agent. The labia minora is a pair of thin skin folds located on the inner side of the labia majora, in the shape of a sheet, about 3-6cm long and 1.5-3cm wide, with a smooth and moist surface, rich in nerve endings and extremely sensitive to stimulation, and is an important organ for sexual stimulation and arousal, as well as an important gateway to protect the vagina from external infection. In some women, due to congenital or acquired reasons, enlarged labia minora is not only unattractive in appearance, but also brings a lot of inconvenience to the normal life of patients. For example, the hypertrophied labia minora are uncomfortable when exercising, walking, cycling or sitting for a long time due to local squeezing and rubbing, or painful during menstruation due to rubbing of sanitary napkins, and some patients experience blockage or pain during sexual intercourse. It makes patients feel self-pity and psychological pressure, and often requires surgical treatment. The correct surgical method only removes part of the hypertrophied labia minora tissue and retains enough parts for normal physiological needs. The shape of labia minora after surgery is mostly “willow leaf”, with natural and scarless edges, and both sides close naturally to protect the vaginal opening. If the surgeon does not understand the normal anatomy and physiological structure of labia minora, excising too much or too little tissue, or unsatisfactory trimming of labia minora shape can lead to failure of surgery. The patient, female, 21 years old, underwent “bilateral labia minora reduction” in a beauty salon in 2003 because she felt that her labia minora were enlarged and unattractive, after the operation, she felt local pain and discomfort when walking, and repeatedly had vaginal infection, and could not wear tight pants. “After the surgery, the patient felt localized pain and discomfort when walking, and repeatedly had vaginal infection and could not wear tight pants. After examination by the specialist, it was found that the patient’s labia minora were absent on both sides, with localized longitudinal scarring, scar contracture leading to vaginal opening ectropion, redness and swelling of the mucous membrane of the vaginal opening, with small ulcers and a large amount of yellow discharge and odor. The surgery removed all the labia minora on both sides of the patient, which deprived the vaginal opening of the normal protection of the labia minora, and caused recurrent vaginal infections and local pain and discomfort when walking due to local scar contracture of the removed labia, resulting in vaginal opening mucosal ectropion. The physical and psychological damage caused by this surgery will be irreparable. Another female patient underwent “bilateral labia miniaturization” in a beauty salon due to labia minora hypertrophy, and after the surgery, the patient had a dispute with the doctor because she was not satisfied with the shape of labia minora after the surgery. The specialist found that the patient’s bilateral labia minora were triangular in shape with thick, blunt and uneven edges, and the tip of the labia minora triangle was curled inward, and the size of both sides was also asymmetrical. The surgery reflected that the operator lacked basic understanding of the normal shape of female external genitalia and designed the surgery based on assumptions, as well as lacked the skills and experience of specialist surgery. This makes it difficult for patients to accept the surgery and leads to failure. The hymen is a membrane of varying thickness around the vaginal opening, with a hole in the middle as small as a needle point and large enough to hold one or two fingertips, the hole is mostly crescent-shaped or round, occasionally sieve-shaped, septal or scattered, generally speaking, the hymen ruptures during the first sexual intercourse, mostly in the latter part of the hymen, the rupture varies from person to person and can be accompanied by a small amount of bleeding. Due to its anatomical and histological characteristics, the hymen lacks nerve fibers, has a poor blood supply, has no glandular or muscular components, and is mainly composed of elastic and gelatinous connective tissues, so the healing ability of the hymen is poor. Ask the patient to visit the hospital for regular post-operative review and tell the patient the final result of the surgery truthfully. Avoid any possible harm to the patient as a result of a failed surgery. This is the duty of a gynecological cosmetic surgeon and the professional ethics that a gynecological cosmetic surgeon has to abide by. Otherwise, it will cause irreparable damage to the patient. The patient female, 26 years old, because of old hymen rupture, in May 2003 in a beauty salon to receive “hymen repair”, three months after the operation married, the wedding night without bleeding sex and lead to marriage rupture. After the specialist’s examination, it was found that the patient had an old fissure deep to the vaginal wall at 4° and 8° of the hymen, and the edge of the fissure was healed in the shape of teeth. Since the hymenoplasty surgeon did not ask the patient to come to the hospital for a review and tell her the final result of the surgery. As a result, the patient is unaware of the failure of the surgery and it leads to marital tragedy. Medical developments have not yet solved the problem of hymen regeneration and reconstruction, however, some doctors have devised “hymen reconstruction” at the cost of disrupting the local anatomy. The patient, a 24-year-old woman, underwent “hymen reconstruction” in a beauty salon in 2001 due to an old hymen rupture, after which she experienced pain and bleeding during intercourse and was unable to have a normal sex life. The patient’s marriage was in crisis and the patient’s spirit was close to collapse. The patient’s vaginal opening was narrow and could only accommodate two fingers, the vaginal speculum was difficult to enter, the navicular fossa disappeared and was higher than the hymenal ring, the surgical scar was visible locally, only 10°-12° and 12°-2° of the hymen remained, the rest of the hymen was missing, and the mucous membrane of the posterior wall of the vaginal opening had a lamellar erosion surface. The surgery removed most of the patient’s hymen, while the outer navicular fossa of the hymenal ring was cut and sutured above the hymenal ring to form the so-called “hymen reconstruction”, resulting in narrowing of the vaginal opening after the surgery and damaged mucous membrane friction at the navicular fossa above the hymenal ring during intercourse, leading to painful intercourse and bleeding during intercourse. Since the surgery destroys the normal anatomical structure and extension of the vaginal opening, it will increase the chance of perineal lacerations if the patient gives birth vaginally in the future. Fourth, surgical misconceptions about the clitoris and clitoral prepuce reduction The clitoris is a small, long and erect body, consisting of two spongy bodies, equivalent to the male penis. The clitoral head is located at the front of the clitoris and is the size of a soybean. 75% of the clitoral head is usually located inside the clitoral foreskin and is curved to a certain extent due to the pulling of the labia minora, with the clitoral head pointing inward and downward toward the vaginal opening. The body of the clitoris is located at the posterior end of the clitoral head and is covered by the clitoral foreskin and buried beneath it. The clitoris is rich in sensory nerve endings and is very sensitive to touch. It is a more powerful stimulus for sex than any other part of the female body and is an important organ for making women horny and generating sexual pleasure. Some women have an enlarged clitoral foreskin, which is not only unattractive but also affects sexual stimulation and sensation. Clitoral reduction is required. However, in order to meet the special requirements of some patients, some doctors further reduce the clitoral foreskin, which is not enlarged, so that the clitoral head loses the normal protection of the clitoral foreskin and is completely exposed and raised upwards. When the patient walks, rides a bike or wears tight pants, the clitoral head rubs against the clothing and feels local pain and discomfort, and even local skin congestion and erosion and infection occur. A 32-year-old patient asked her doctor to remove the foreskin of her clitoris, which was not enlarged, because she wanted more stimulation of the clitoris during sex to further enhance sexual sensation. As a result, the patient often felt localized pain and discomfort after the surgery, especially when wearing tight pants and riding a bicycle, and the pain became unbearable. Therefore, doctors must be skilled in the normal anatomy and physiological functions of female external genital organs, and surgery should not lose its principles. Otherwise, inappropriate surgery will cause unnecessary harm to the patient. Gynecological plastic and cosmetic surgery, due to its strong specialization, special and complex anatomical parts, surgery has a certain degree of risk, requiring the surgeon to master the anatomy, physiological function and tissue structure of female internal and external reproductive organs, and has a wealth of experience in gynecological surgery and skillful surgical techniques. The basic principle of gynecological cosmetic surgery is to repair damaged tissues and restore normal physiological function and form. The surgery should not destroy the normal physiological structure and should not apply immature techniques in gynecological plastic surgery. Otherwise, the incorrect surgery to the patient’s mental and physical damage may be permanent and irreparable. Fourth, gynecological cosmetic surgery domestic and foreign status 1, the domestic status modern gynecological cosmetic surgery in China began in the 1980s, the development of more than twenty years of history, the majority of cosmetic surgery hospitals throughout the country have carried out different projects of gynecological cosmetic surgery. However, the development of gynecological cosmetic surgery has been relatively slow compared to the hot cosmetic plastic surgery such as blepharoplasty, rhinoplasty, wrinkle removal, breast augmentation, liposuction and so on. The reasons for this are manifold. (1) public awareness of gynecological cosmetic surgery prejudice: Chinese women are deeply bound by traditional culture and moral concepts, depending on the gynecological cosmetic surgery as absolute privacy, not only dare to boldly pursue, but also do not have the courage to face, although there are more and more knowledge of women’s ideology and concepts have changed greatly, the number of people receiving gynecological cosmetic surgery has increased year by year, but the proportion of recipients is much lower than those receiving other cosmetic surgery. (2) immature team of doctors: most of the gynecological cosmetic plastic surgery by ordinary cosmetic plastic surgeons to complete, gynecological origin of the proportion of specialist doctors is very small, so the professional quality and level of doctors vary, subject to the limitations of professional knowledge and experience, gynecological cosmetic plastic surgery there are many technical problems and hidden dangers. Various gynecological cosmetic surgery lack of a unified technical operation norms, there is no a unified efficacy standards, unsatisfactory results after surgery is more common, resulting in patients to accept the operation of fear. (3) market management is not standardized: false advertising about gynecological cosmetic surgery is widespread, irresponsible propaganda led many patients to be deceived, making patients shy away from gynecological cosmetic surgery. 4) knowledge about gynecological cosmetic surgery is not enough publicity and popularization, some patients do not even know that there is such surgery, therefore, not as other cosmetic surgery in the community to form an effect. (5) the impact of economic conditions: gynecological cosmetic surgery is a relatively high consumption category, a significant proportion of female patients in the economy can not afford, so the acceptance of the surgery crowd is relatively narrow. (6) the influence of the concept of consumption: a considerable number of women believe that gynecological cosmetic surgery can be done or not, or left until later, when gynecological cosmetic surgery in economic conflict with other cosmetic surgery, they will choose to do gynecological cosmetic surgery last. From the above situation can be seen, China’s gynecological cosmetic surgery industry on the road of development there are many problems that need to be solved, industry norms and public knowledge popularization is imperative. 2, the status quo abroad gynecological cosmetic surgery in English translated into Sexual Plastic Surgery, compared with China, in Europe and the United States and Japan and South Korea and other economically developed countries gynecological cosmetic surgery popularity and acceptance rate is much higher than China. Especially in the company of white-collar class, senior intellectuals, broadcasters, bodybuilders and show business is more popular. Different from China, the order of gynecological plastic surgery for women in Europe and America is vaginal tightening the most, followed by labia minora reduction, clitoris shaping, mons pubis shaping and pubic hair implantation, etc. Hymen repair is rarely done. In Western societies, sexual liberation has been in place for many years and premarital sex is common, so there is no such strong hymen complex as the Chinese. In developed countries such as Europe and America, the cost of gynecological cosmetic surgery is several to ten times higher than in China, and as in China, gynecological cosmetic surgery is a self-pay procedure, and insurance companies do not pay for the surgery, so it is financially difficult for low-wage earners to afford the surgery. In addition, in Europe and the United States and other developed countries on the gynecological cosmetic surgery doctor training is very strict, engaged in gynecological cosmetic surgery doctor to read eight years of college, after graduation in the clinic also after five to seven years of professional training, after a rigorous examination to get plastic surgeon certificate before being qualified to complete the operation independently. The number of gynecological cosmetic plastic surgeons is strictly limited. Therefore, the gynecological cosmetic plastic surgery market management in these countries is strict and standardized, the professional quality of the plastic surgeon team is high, gynecological cosmetic plastic surgery technology is more mature, gynecological cosmetic plastic surgery failure rate is very low. Fifth, China’s gynecological cosmetic surgery development trend We are in a pursuit of quality of life, the pursuit of a perfect life times. With the rapid development of China’s economy, people’s spiritual life and material living standards continue to improve, will bring a beautiful spring to the gynecological cosmetic surgery market. For women who pursue perfection by nature, gynecological cosmetic surgery will make women’s flowers open more beautiful and splendid. It is expected that the development of China’s gynecological beauty industry will appear to the following major trends: 1, gynecological cosmetic surgery will no longer be the patent of young women, more middle-aged and older women will join the team of gynecological cosmetic surgery, more middle-aged and older female patients to receive vaginal anterior and posterior wall repair, perineal laceration repair and pubic hair implantation and other procedures, so that their quality of life further improved. 2, the level and scope of the recipient will gradually expand, with the increasing popularity of medical knowledge and the overall standard of living, people will have more rich money to enjoy a high quality of life, gynecological cosmetic surgery will no longer be the patent of some special classes, the majority of workers, farmers and ordinary working-class women will also join the ranks of gynecological cosmetic surgery. 3, gynecological cosmetic surgery will be increasingly rich in content. In addition to the current universal content, the mons pubis and labia cosmetic surgery will be favored, a one-time completion of the overall shape of the vulva cosmetic surgery will become the development trend. 2, gynecological cosmetic plastic surgeon’s team will gradually mature, there will be more doctors with rich gynecological clinical experience to join the ranks of gynecological cosmetic plastic surgery. So that the overall quality of gynecological cosmetic plastic surgeons to improve, specialization ability is stronger, professional technology is more mature and standardized. 5, the operation of gynecological cosmetic surgery will be standardized, the effect of surgery will have a unified assessment standard, the failure rate of surgery will be reduced to a minimum. Sixth, gynecological cosmetic surgery consultation skills gynecological cosmetic surgery is different from other cosmetic surgery, it is the overall quality of the doctor’s professional skills and experience requirements are higher, in order to avoid unnecessary injuries caused by surgery, pre-surgery consultation is particularly important to help patients choose a qualified and trusted doctor, so that the surgical process more simple and smooth. 1.First of all, patients should overcome their shyness and face the doctor generously, so that the other party feels that you are a knowledgeable, rational, and mindful person, and get an equal opportunity to communicate for yourself. 2. Tell the doctor frankly the reason why you want the surgery, what kind of surgery you want to have, what results you hope to achieve through the surgery, what worries you have about the surgery, etc., so that the doctor can understand your real thoughts. 3. Ask the doctor to explain why you have these symptoms from a professional point of view, how the surgery will relieve your pain, what is the mechanism of the surgery, what kind of exact results can be achieved after the surgery, what are the possible risks of the surgery, etc., so that you can initially judge the professional level and credibility of the doctor. 4, politely ask the doctor’s past surgical experience, especially the experience of gynecological cosmetic surgery, ask the doctor the success rate of the surgery you want to receive, once the surgery failed how to remedy, etc., so that you further understand the doctor’s professional ability and quality. 5, ask the doctor to give you a specialist examination, through the examination you can further appreciate the doctor’s professional skills and whether careful, after the examination whether the doctor’s evaluation of your condition is exaggerated or downplayed, or with your own feelings, reflecting the doctor’s honesty or not. 6.Inquire in detail about the type of anesthesia for the surgery, the time needed for the surgery, what precautions to take before and after the surgery, whether you need to be hospitalized, the approximate cost of the surgery, etc., in order to help you choose the right time for the surgery and arrange your family and work. 7, visit 2-3 regular cosmetic surgery hospitals, after a thorough comparison, and then decide to choose a hospital and doctor you trust most.