| Service | 🇺🇦 Ukraine | 🇨🇿 Czech Republic | 🇹🇷 Turkey |
|---|---|---|---|
| Initial consultation on perineoplasty | from USD 20 | from USD 150 | from USD 300 |
| Average price of assessing the perineal tissues before surgery | from USD 57 | from USD 300 | from USD 250 |
Prices in the “Ukraine” column come from MediUkraine’s partner clinics. The Czech Republic and Turkey columns show the lower bounds of prices published by clinics there (for Turkey, also the Turkish Dental Association’s recommended 2026 tariff), collected in August 2026 and converted to US dollars at the rate on the day of collection. A dash means we could not find a comparable published price. In any country, the final cost is set by the clinic after an examination.
During childbirth the perineal muscles and fascia stretch and tear, and dense scar tissue forms where the tears or incision were. A scar is less elastic than healthy tissue, so the support of the vaginal walls weakens and the vaginal opening remains wider. The operation removes exactly this scar and repairs the pelvic floor muscles layer by layer, restoring their working length. It is indicated for women who, after vaginal birth, are left with pain, a feeling of looseness, a coarse episiotomy scar or problems in their intimate life.
Before surgery the surgeon assesses the condition of the soft tissues, scarring and the tone of the pelvic floor muscles, and clarifies contraindications and your reproductive plans: if you are planning another vaginal birth, this affects both the timing and the extent of correction. It is not worth putting off an examination: pain, discomfort and muscle weakness do not go away on their own, and the extent of surgery depends on how long the changes have been present. Based on the examination the doctor draws up a plan: which technique to use, which type of anaesthesia is suitable and how long recovery will take.
Travel. Ukrainian airspace is closed, so there are no commercial flights. Uzhhorod lies right on the border with Slovakia and close to Hungary, so patients usually arrive overland from one of these two countries, by car, bus or train.
Visas. Citizens of the EU, the United Kingdom and the United States do not need a visa for short stays in Ukraine. Rules depend on your citizenship, so check your own before booking.
Safety, plainly. Ukraine is at war. Air raid alerts occur across the country, including in Uzhhorod, and an appointment can be interrupted by one. Several governments advise against travel to Ukraine, and while that advice stands, ordinary travel and medical insurance is often void — confirm your cover with your insurer before you commit to anything.
Language. MediUkraine handles correspondence, scheduling, the written treatment plan and the quote in English. The clinic's team communicates with international patients in English.
Payment. You pay the clinic directly. Our coordination service is free of charge for you.
More on travel, safety and insurance: Safety and travel.
Surgical perineoplasty is the main method of repairing tissue after birth injuries. It is performed under local anaesthesia or intravenous sedation. The surgeon removes scar and damaged tissue and restores the anatomical structure of the pelvic floor muscles and fascia. The operation takes 45–90 minutes, depending on the degree of damage and the time since the birth. The best period for surgery is from 3 months to 2 years after giving birth.
Laser coagulation is suitable for less invasive treatment of small defects and cosmetic changes. The laser beam stimulates collagen production, which improves skin elasticity and tightens the tissues. The method has a short recovery period (2–3 days) and suits patients who want to avoid surgery. The result develops gradually over 2–3 months.
Radiofrequency therapy is used on its own or in combination with surgery. Radio waves heat the deep layers of the dermis, increasing tissue elasticity and tone. The procedure is usually painless, no anaesthesia is needed, and recovery takes a few days. It is prescribed mainly for patients with minimal defects and tissue laxity.
MediUkraine will arrange a consultation with an experienced surgeon at the partner clinic in Uzhhorod, who will choose the treatment method to suit your clinical case and wishes.
After perineoplasty the key stage begins: following the doctor's recommendations and regular checks of the tissues in the treated area. You receive the results of the examination and personal advice on aftercare, lifestyle and factors that affect healing. Within the first weeks it becomes clear how your body is responding to the procedure, and the recovery plan is adjusted if needed.
During this period it is important to follow the specialist's instructions: attend follow-up check-ups on time, keep the operated area clean, and avoid intensive physical exertion and sexual intercourse until healing is complete. If discomfort, unusual discharge or changes in how you feel appear, tell the doctor straight away, and they will adjust the recovery plan. The surgeon tells you at the follow-up check-up when you can return to sport and sexual activity, based on how the tissues are healing.
Perineoplasty is a surgical procedure that restores the anatomical structure and function of the perineum after childbirth. During vaginal birth the perineum is under considerable mechanical strain, which often leads to tears of varying severity or a surgical incision (episiotomy). Even after full healing, visible scars, tissue deformity and defects may remain, which are corrected with reconstructive surgery.
The operation is performed under local or general anaesthesia, depending on the scope of surgery. The surgeon removes scar tissue and restores the natural anatomy of the pelvic floor muscles and the vaginal lining. The technique improves tissue elasticity and can improve sphincter function. The operation takes 30–60 minutes, depending on the complexity of the case.
The result noticeably improves quality of life and restores confidence and sexual function. Surgery is recommended no earlier than 3–6 months after giving birth, when the body has recovered sufficiently.
Why treatment in Ukraine costs less than abroad
Perineoplasty after childbirth costs significantly less in Ukraine than similar procedures in Western Europe or the USA. In Poland and the Czech Republic the same services cost from EUR 2,000–3,000. The difference is explained by lower operating costs, the pay levels of medical staff and the cost of renting premises, without any loss in the quality of care.
Ukrainian surgeons who specialise in reconstructive perineoplasty have substantial experience and regularly improve their skills at congresses and conferences. The service package, consultation, pre-operative tests, the operation itself and subsequent check-ups, is already included in the total cost.
MediUkraine helps patients arrange treatment at the partner clinic in Uzhhorod, can advise on your trip and help you find accommodation, which further reduces the overall cost of treatment.
The procedure is planned in advance, after the post-partum tissues have fully healed and any inflammation has been treated, so when the protocol is followed the risk of complications is low. The operation corrects deformities of the perineum, removes excessive tissue stretching, improves appearance and restores the tone of the pelvic floor muscles. Restoring the structure of the perineum makes everyday life and intimacy more comfortable, removes the feeling of looseness and reduces the risk of further functional problems.
Post-partum changes may include scar deformities, asymmetry, a weak perineum or aesthetic defects, which often affect self-esteem and physical comfort. Surgical correction gently restores normal anatomy, strengthens the supporting structures, improves tissue elasticity and brings back a sense of stability. Minimally invasive techniques mean less trauma, shorter recovery and a predictable result.
A well-performed operation relieves discomfort during physical activity and the feeling of heaviness, and with them the tension many women live with after childbirth. The surgeon takes into account your individual characteristics, the degree of change after childbirth and your expectations, and draws up a treatment plan on this basis. Whether the procedure is right for you and which restrictions will apply in your case are established at an in-person consultation with a gynaecological surgeon.
📍 Uzhhorod, Ukraine
A multidisciplinary hospital in Uzhhorod, part of a network of medical facilities in western Ukraine: an outpatient clinic, a surgical centre covering 15 specialties and a 30-bed inpatient unit. Its 52 doctors include professors and PhDs; many operations are done as day surgery, with discharge after 1–2 days.
Perineoplasty after childbirth is surgical repair of tissues that have torn or lost their tone. The surgeon restores the correct anatomy of the vaginal opening, strengthens the muscles and relieves discomfort. The procedure is recommended for women who experience pain, looseness, dryness, difficulties during intimacy or aesthetic discomfort.
The price depends on the complexity of the case and the surgeon's qualifications. On average it ranges from USD 250 to 600, which is considerably more affordable than in European countries. The price usually includes the consultation, pre-operative tests, the procedure itself and post-operative follow-up.
It is worth seeing a doctor if you notice:
• discomfort or pain during intercourse;
• a feeling of looseness after childbirth;
• tissue sagging, dryness or microfissures;
• aesthetic discomfort;
• difficulty controlling the pelvic floor muscles.
The best time is after breastfeeding has ended or no earlier than 6 months after giving birth.
Preparation includes:
• a consultation with a gynaecological surgeon;
• a pelvic ultrasound;
• basic blood and urine tests;
• ruling out infections;
• agreeing the type of anaesthesia and the recovery regimen.
The doctor draws up a personal preparation plan that takes your individual health into account.
Yes, but only once your condition is stable. Coexisting infections, inflammation, hormonal disorders or post-partum complications must be treated before the operation. The doctor assesses all the risks and decides on a safe time for surgery.
The main indications are:
• tears and poor healing after childbirth;
• reduced tissue elasticity;
• pain during intimacy;
• aesthetic changes;
• impaired pelvic floor muscle tone;
• chronic discomfort when sitting, exercising or walking.
Yes, with first- and second-degree tears full recovery is possible without further surgery, but this depends on the depth of the damage and the quality of the initial treatment. These tears make up most cases: correct suturing immediately after birth and following the rehabilitation protocol lead to full tissue healing within 4–8 weeks. Muscle strength and sensation in the perineum usually recover fully.
Third- and fourth-degree tears need a specialist approach and may leave symptoms such as mild sphincter weakness or discomfort during sex. Even in these cases reconstructive surgery significantly improves anatomy and function. The key is seeing a specialist early and the right surgical technique. The MediUkraine team will arrange a consultation with an experienced surgeon at the partner clinic in Uzhhorod who specialises in perineal reconstruction and organise treatment to suit your needs.
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