This surgery is indicated for females who are able to confirm the G-spot location or feel a G-spot orgasm. Current surgical implants comprise an autologous gluteal fascia and artificial Gore-Tex. The advantages of autologous fascia are the complete use of autologous tissues that present a soft and natural texture and incur no rejection or infection and the customized adjustment of size and thickness in light of individual requirements. The disadvantages are that self-resorption cannot be fully eliminated and that an additional incision needs to be made on the buttocks for the collection of fascia. Regarding the use of Gore-Tex, the advantages are the readily available materials and the absence of additional scars at other body parts, but the disadvantages are the relatively hard texture and potential risks of infection or rejection from emplaced foreign bodies. Besides, long-term intense friction induces implant extrusion or prolapse. Therefore, patients should inform Dr. Chuang of their patterns and frequency of sexual behaviors for the selection of materials to find the appropriate approach.
The principle of this surgery is to enhance the frequency and intensity of stimulation to the G-spot during sexual intercourse by reinforcing the G-spot mucosa. During the operation, Dr. Chuang will first visually identify the G-spot location; next, an incision of approximately 1 cm will be made at the planned surgical site, and then, the harvested facial tissues or modified Gore-Tex will be emplaced into the vaginal mucosa near the G-spot to make it hard and prominent. The emplaced implants will be fixated by sutures to prevent future dislocation or extrusion. Patients are asked to abstain from sexual intercourse for 1 month postoperatively to facilitate wound recovery, and both males and females need to learn to adjust the position or posture during sexual intercourse to increase the frequency and intensity of stimulation to the G-spot. Moreover, because the lax vagina makes male genitals unable to smoothly compress or rub the G-spot, vaginal tightening (vaginoplasty) is considered if the patient has concurrent vaginal laxity to heighten the probability of G-spot stimulation by the male genitals.