Gynecoplastic Surgery: A Unified Terminology for Female Genital Aesthetic, Reconstructive, and Functional Procedures

The field of female genital aesthetic, reconstructive, and functional surgery has rapidly expanded due to advances in laser and regenerative technology, but its fragmented terminology currently limits academic cohesion and standardization. This narrative review proposes gynecoplastic surgery as a unified term that integrates the aesthetic, reconstructive, and functional domains of female genital surgery. The review was structured using PubMed, Scopus, and Web of Science to consolidate knowledge on terminology, anatomical classification, and objective evaluation tools, including validated indices, such as the Vaginal Health Index and Vulvar Health Index, and imaging modalities, such as high-frequency ultrasound. The literature confirms a convergence of restorative, aesthetic, and functional procedural goals, supported by emerging objective metrics for vulvovaginal evaluation. Gynecoplastic surgery offers an encompassing framework, connecting the historical evolution of reconstructive gynecology with advances in imaging and regenerative therapies. Standardizing terminology under this framework will promote academic clarity, facilitate multidisciplinary collaboration, and align clinical practice with modern evidence-based assessment, supporting its future adoption in research, training, and patient communication.