With the new millennium, the increase in internet use and the rapid spre-ad of social and digital media have caused significant changes in societies. The desire of women to feel better, the increasing popularity of general anti-aging treatments, especially the visual comparison races in social media, development of energy-based new technologies, and the incredible increase in social aware-ness are just a few of the factors that accelerate the popularity of female genital operations. The aesthetic operations of the genital area include a range of sur-gical and non-surgical procedures with a high level of patient satisfaction for cosmetic, reconstructive, and regenerative purposes, providing excellent results when done with the right technique and personalized methods. However, when these procedures are done without sufficient knowledge and experience, they can lead to irreversible results in terms of both aesthetic and functional aspects as well as serious legal problems. For this reason, training is essential before starting practice. However, this field is not included in the residency training programs of most universities today. Some associations, organizations, or indi-viduals working with special status are trying to fill this gap. ISAGSS (Interna-tional Society of Aesthetic Genital Surgery & Sexology), which I established in 2017 and still continues to provide hands-on training under my leadership in different parts of the world, uniquely combines aesthetic genital surgery with sexual well-being. Another important issue is that scientific evidence-based data on genital aest-hetic procedures are still insufficient. For this reason, energy-based technologies used in applications and treatments become the target of organizations such as WHO, FDA, and ACOG from time to time. I hope that as the evidence-based data on genital aesthetic operations increase, this field will soon reach a much stron-ger position in the scientific arena. For the physician who intends to work in the field of genital aesthetics, it is essential to have the ability to empathize with his/her patient, not to compro-mise on ethical principles, and to draw his/her own boundaries with the motto “first, do no harm”. The operation demands and expectations of the patients can be quite different from each other. There is no one-size-fits-all in cosmetic sur-geries. The technique to be used in the operation in line with the experience of the physician should be applied according to the patient’s wishes and the con-dition of the tissue.

As stated in the ACOG declaration published in 2020, some sexual dysfunctions can also be corrected by functional genital surgeries. However, for this, the physician must have sufficient training in the fields of sexual dysfunction and psychiatric disorders, and when necessary, should not hesitate to ask for consultation from different disciplines. The book “Female Aesthetic and Functional Genital Surgery” is blended with nearly 20 years of knowledge and experience in the field of genital area aesthetics, techniques from the most up-to-date literature, and a multidisciplinary perspective. The work, which is the product of the coronavirus pandemic period in 2020, consists of 22 separate sections, and the images in its content were selected from more than 20,000 photographs from over a 20-year period in this field. Procedures not yet included in the literature, e.g., labia minora asymmetry classification, Barbie vaginal aesthetics with Eserdag concept, neolabiaplasty (re-labium reconstruction), inverted-U hoodoplasty, hat trimming in hoodoplasty, “Juicy Vagina Syndrome”, rooster comb appearance in perineum, painful hymen as a cause of superficial dyspareunia, square mattress suturing in labiaplasty, office labiaplasty, majoraplasty with adipose tissue reduction, and teardrop incision in majoraplasty, as well as procedures of mine such as the Inverted-Y plasty procedure in clitoral hoodoplasty operations and primary repair of hymen with Vestibulo-Introital Tightening Technique (VITT) in the literature are also discussed in detail. The book includes from basic to advanced methods of aesthetic, reconstructive and regenerative surgeries and non-surgical applications related to female genital organs, and has been enriched with the consent forms and genital aesthetic examination in the last part. Before you start reading, I recommend that you test yourself with the aesthetic genital surgery MCQ in the last part, or at least take a look. After you finish reading the book, you can return to the exam questions. My aim is that the physicians who have devoted themselves to this field and whose number is increasing rapidly every year can gain knowledge from the most basic level to advanced techniques in this happy journey. I hope that this work, in which I generously share all the methods I apply to my patients, will be beneficial for the global medical community.

Süleyman Eserdağ, MD
Gynecologist,
Fellow of European Committee of Sexual Medicine (FECSM),
President and Founder of the International Society of Aesthetic Genital Surgery & Sexology (ISAGSS)

I devote this book to;
My life teacher, my dear mother Alime Eserdağ (1941-2018),
Altruistic, modest, and unique my dear father Ünal Eserdağ,
My biggest supporter in my academic life, and my love Dr. Şenay Eserdağ, My life energy sources, my dear sons Can Batu and Batuhan…

The author was born in Bursa in 1969 and after completing his primary and secondary education in Manisa, he graduated from Izmir Science High School in 1986. After graduating from the Medical School of Dokuz Eylül University, he began residency program in Ankara Zekai Tahir Burak Women’s Health Educational and Research Hospital by passing the Medical Specialization Exam. He completed his residency education in 1997 and became a Gynecologist and Obstetrician. Later, he worked as a Gynecology and Obstetrics Specialist and also a Chief Physician at the Kazan State Hospital, which was his first place of appointment. In 2002, he was re-appointed to Zekai Tahir Burak Women’s Health Education and Research Hospital and worked in the perinatalogy, menopause, in vitro fertilization and infertility clinics of this hospital. In this period, he opened his first clinic named “HERA Clinic” in Ankara (Kavaklidere). In 2008, he resigned from the hospital due to adverse conditions and started working full time in his office. Dr. Eserdag, in 2014, passed the board exam organized by the European Society for Sexual Medicine (ESSM) and the European Federation of Sexology (EFS) to become Turkey’s one of first “Fellow of European Committee of Sexual Medicine”(FECSM) gynecologists. In 2015, he established the HERA Vaginismus Treatment, Education and Research Association, the first national non-governmental organization in the field of vaginismus. He trained physicians and health professionals within the scope of this association. Dr. Eserdag has received training from many leaders in the field during his vaginismus and genital aesthetics journey that started in the early 2000s. Prof Adam Ostrzenski (Florida/USA-2011), ECAMS (Athens/Greece-2015), and Dr. Red Alinsod (California/USA-2016) are some of the mentors and organizations that he received training from. Dr. Eserdag was accepted as a senior faculty member at ECAMS (European College of Aesthetic Medicine and Surgery) based in Ireland in 2015. Betwe-en 2015 and 2017, he gave hands-on genital aesthetics courses in Istanbul and Vienna. In 2017, he left this faculty and established an international association called ISAGSS (International Society of Aesthetic Genital Surgery and Sexology). In this association within the scope, Turkey, Northern Cyprus, India, Azerbaijan, Philippines and Indonesia in as many countries, has provided more than 600 different branches of one to one training physicians. In addition, he organized the International RAGSS (Reconstructive Aesthetic Genital Surgery and Sexology) congresses in Istanbul in 2018 and 2019. In 2020, he published the book Sexual Medicine and Genital Aesthetics, which he shared the editorship with two colleagues. This book is the first book published in Turkey in the field of sexual medicine and genital aesthetics. Inverted-Y Plasty procedure in clitoral hoodoplasty operations and Vestibu-lo-Introital Tightening Technique (VITT) in hymenoplasty surgeries applied by Dr Eserdag in cosmetic gynecology fields have entered the literature. Many national and international studies of him on vaginismus and dyspareunia have also been published in peer-reviewed journals. Dr Eserdag established clinics in İstanbul (Nisantasi) and İzmir (Alsancak) under the roof of ‘HERA Clinic’ in 2016 and İstanbul (Kadıköy) clinics in 2020. Now he’s the director of these four clinics and accepts the patients in his private clinic in Istanbul. At the same time, he continues giving lectures and trainings within the scope of the ISAGSS, and has been invited to many national and international congresses. He is married and father of two boys.