A Deinfibulation Consultation: Words for Your Own Decisions

If you are an adult referred to discuss deinfibulation after genital cutting, you may want time to explain what matters to you before considering an operation. Bring your questions in the words you use for your own body. You can adapt the example phrases below or give the clinician a written note.

Start with the reason for your referral

Example phrase: “Please explain what you found and what you think this operation could help with in my case. The concern I most want to discuss is ___.”

Ask the specialist to distinguish the purpose of the proposed operation from any other care you might need. Tell them which symptoms, examination concerns or plans you want considered. Request an explanation of the options, including what happens if you decide against surgery or need more time.

Example phrase: “What change is realistic for me, what remains uncertain and what risks should I consider before deciding?”

Agree on how an examination will happen

RCOG says you can communicate distress in writing, ask for an intimate examination to stop and request a chaperone. You can also bring a friend or relative if you wish.¹

Example phrase: “Before an examination, please explain each step and ask before starting. If I say stop, I need you to stop. I would like ___ present.”

Tell the team what helps you feel prepared. Ask how it can adapt the appointment and what alternatives are available if an examination feels too difficult that day. You do not need to use every example phrase; choose the one that expresses your concern.

Discuss anaesthesia without assuming one plan

Deinfibulation can usually be performed with local anaesthetic. RCOG also describes spinal or general anaesthetic options. The team should explain the procedure and give you an opportunity to ask questions.¹

Example phrase: “Please compare the anaesthetic options that are suitable for me. What would I experience, and how would you help if I felt distressed or uncomfortable?”

Ask for your service’s preparation and recovery instructions before committing to a date. Confirm transport, support at home and whom to contact afterward. Request specific advice on wound care, activity and any medicine prescribed; do not borrow another person’s schedule.

Ask for support and a written next step

RCOG describes referral for psychological support and advises asking your healthcare professional if you would like this arranged.¹

Example phrase: “I would like support thinking through this decision. Who can I speak with, and can we write down the next step before I leave?”

Confirm whether another discussion is planned, who will arrange it and how to reach the service with later questions. If you choose surgery, ask what changes after the procedure need urgent assessment and where to get that care. Keep the contact instructions with your own plan.

Down There, Decoded includes a See script for appointments. Use it to organize the questions you want answered alongside your specialist’s individual advice. Explore the intimate-health playbook.