Obstetricians and gynaecologists in Bengaluru say they occasionally receive requests for the controversial procedure known as the “husband stitch,” an additional suture sometimes requested after childbirth to tighten the vaginal opening.
Medical professionals say such requests are often initiated by male partners and raise broader concerns about women’s bodily autonomy and equality in relationships.
Doctors discourage the procedure
Dr Priya SP Patil, consultant obstetrician, gynaecologist and laparoscopic surgeon at Altius Hospital in Rajajinagar, said she receives such requests once or twice a month.
The so-called husband stitch involves placing an extra suture while repairing a perineal tear or episiotomy after delivery, with the intention of tightening the vaginal opening.
However, doctors say the procedure is not medically necessary and can lead to several complications.
Dr Nirmala Chandrasekar, consultant in obstetrics and gynaecology at Fortis Hospital, Nagarbhavi, said that vaginal laxity after childbirth is natural and does not typically require surgical tightening.
Potential health risks
Medical experts warn that the additional stitch may cause dyspareunia (pain during intercourse), chronic perineal pain, scarring and long-term sexual dysfunction.
They also note that the procedure may not achieve the intended effect, as it only tightens the entrance rather than restoring muscle tone.
Incorrect placement of the stitch can also increase the risk of infection and long-term discomfort.
Importance of consent and counselling
Doctors emphasise that any medical intervention must be based on informed consent, with both partners fully understanding the risks and benefits.
Dr Shanthala Thuppanna, senior consultant and head of gynaecology at Sakra World Hospital, said that tightening procedures, if medically necessary, should only be considered after childbirth recovery and after detailed counselling.
Experts say discussions around such requests also highlight the need for greater awareness about gender equality and respectful decision-making in healthcare.
Non-surgical alternatives recommended
Instead of surgical intervention, doctors recommend several non-invasive approaches to support postpartum recovery.
These include pelvic floor strengthening exercises such as Kegel exercises, perineal massage and prenatal practices like using birthing balls to maintain muscle tone.
Dr Sapna Lulla of Aster CMI Hospital said techniques such as perineal massage during the final weeks of pregnancy can help improve tissue elasticity and reduce complications during childbirth.
Medical professionals stress that natural vaginal delivery should not be discouraged due to misconceptions about post-delivery changes.
They also highlight the importance of counselling and education for families to ensure informed and respectful healthcare choices for women.
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