Clitoral Hood Reduction (Hoodectomy)
Clitoral hood reduction (hoodectomy) removes excess prepuce tissue to reduce discomfort and improve labial appearance. Performed by GMC Specialist Register surgeons at our CQC-regulated Baker Street clinic. From £2,495.
Clitoral Hood Reduction (Hoodectomy) in London
Clitoral hood reduction, also known as hoodectomy or clitoral unhooding, is a surgical procedure that removes excess tissue from the clitoral hood — the fold of skin that covers and protects the clitoris. Where the hood is enlarged, it can prevent full clitoral retraction during sexual activity, cause physical discomfort from friction against clothing, and create aesthetic concerns about the appearance of the vulva.
At Centre for Surgery, clitoral hood reduction is performed by consultant plastic surgeons on the at our . Straightforward cases are performed under local anaesthetic with sedation. Complex cases and procedures combined with or are performed under . A mandatory two-week cooling-off period applies to all surgical procedures.
The clitoris itself and its associated nerve supply are completely untouched throughout the procedure.
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What is Clitoral Hood Reduction?
The clitoral hood — known medically as the prepuce — is the fold of skin at the top of the labia minora that protects the clitoris when it is not engorged. During sexual arousal, the hood normally retracts to expose the clitoral glans. Where the hood is excessively large or thick, this retraction can be limited — reducing direct stimulation.
Clitoral hood reduction removes excess prepuce tissue bilaterally, producing a smaller hood that retracts more fully. The procedure does not alter the clitoris itself. The clitoral glans, its underlying anatomy, and its nerve supply are preserved entirely throughout.
Clitoral hood reduction can improve the aesthetic appearance of the vulva, reduce friction and discomfort from oversized hood tissue, and in some cases allow greater clitoral exposure during sexual activity. It does not guarantee improved orgasm — the ability to achieve orgasm involves multiple interconnected physiological and psychological factors beyond clitoral exposure alone. These limitations are discussed honestly at consultation.
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Clitoral Hood Reduction Before & After Photos
Before and after photographs from clitoral hood reduction procedures performed at Centre for Surgery are available to view at your consultation. We only publish photographs where patients have given full written consent, and we do not use stock imagery.
Your surgeon will show you cases with a similar anatomy to your own wherever possible — giving a more accurate impression of achievable outcomes.
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Benefits of Clitoral Hood Reduction
An enlarged clitoral hood can cause persistent friction against tight clothing, swimwear, or during exercise and cycling. Reduction permanently removes the excess tissue responsible for this friction.
Some patients are unhappy with the appearance of an enlarged or asymmetric clitoral hood in relation to the labia minora. Hoodectomy produces a neater, more balanced labial appearance — particularly when combined with .
Where an overly large hood limits retraction during sexual activity, reducing the hood can allow greater direct clitoral exposure. Individual outcomes vary — your surgeon will give an honest assessment of what is clinically achievable for your anatomy at consultation.
The tissue removed during hoodectomy does not regenerate. The result is permanent. No maintenance treatment is required.
All sutures used are fully absorbable and dissolve naturally over three to four weeks. No return visit for removal is needed.
Clitoral hood reduction is the most common procedure combined with at Centre for Surgery — addressing both the labial tissue and the hood in a single procedure. The combined procedure takes approximately two hours.
Am I Suitable for Clitoral Hood Reduction?
Suitability is confirmed at a face-to-face consultation with your surgeon. The following criteria apply at Centre for Surgery:
Centre for Surgery performs hoodectomy on adults aged 18 and over only.
Candidates should be in good general health with no conditions that significantly impair wound healing. Patients taking blood-thinning medications are assessed individually.
Stop all nicotine products at least four weeks before surgery and for four weeks after. Smoking impairs microcirculation and slows wound healing. Two weeks’ cessation is the accepted minimum for local anaesthetic cases.
Common presentations include: friction or discomfort from enlarged hood tissue during exercise or when wearing fitted clothing; reduced clitoral stimulation due to limited hood retraction; aesthetic dissatisfaction with the appearance of the clitoral hood relative to the labia; and enlarged hood tissue following childbirth or hormonal changes.
Hoodectomy reduces excess hood tissue and improves aesthetic appearance — it cannot guarantee improved sexual function or orgasm. Your surgeon will give an honest account of what the procedure can achieve for your specific anatomy.
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How to Prepare for Clitoral Hood Reduction
Your patient coordinator and surgeon will provide written preoperative instructions specific to your case.
Stop all forms of nicotine at least four weeks before surgery and for four weeks after. Two weeks’ cessation is the accepted minimum for local anaesthetic cases. Smoking impairs microcirculation and significantly increases the risk of wound breakdown and poor scarring.
Stop aspirin at least one week before surgery. Stop ibuprofen and all other NSAIDs. Stop supplements that affect bleeding — fish oil, vitamin E, ginkgo biloba, garlic, St John’s wort.
Alcohol affects anaesthetic metabolism and impairs early wound healing.
No food for six hours before admission. Clear fluids only (water, black tea or coffee without milk) up to two hours before. Your coordinator will confirm exact timings.
A responsible adult must collect you and stay with you for the first 24 hours, regardless of whether your procedure is under local anaesthetic or TIVA. Do not drive yourself or travel home on public transport.
Buy loose-fitting cotton underwear and comfortable, non-restrictive clothing before your procedure date. Have sanitary pads ready for the first week.
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The Clitoral Hood Reduction Procedure
Clitoral hood reduction is a day-case procedure — you go home the same day, once recovered from the anaesthetic and confirmed fit for discharge by your clinical team.
Straightforward hoodectomy at Centre for Surgery is performed under local anaesthetic with oral sedation — you are relaxed and the area completely numb, but awake throughout. is used for combined procedures and for patients who prefer to be fully asleep. The appropriate approach is agreed at your consultation.
The most common technique. Excess prepuce tissue is excised symmetrically from both sides of the clitoral hood. The central clitoral glans is maintained in the midline throughout. Incisions are placed parallel to the long axis of the clitoris to minimise sensory disturbance.
Where the prepuce tissue forms redundant folds rather than diffuse excess, these folds are excised individually. Incisions run parallel to the clitoral axis to preserve nerve distribution.
The procedure takes approximately one hour as a standalone. Combined with , the total operative time is approximately two hours.
All sutures are fully absorbable — no return visit for removal is required. They dissolve naturally over three to four weeks.
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Recovery after Clitoral Hood Reduction
Recovery from hoodectomy follows a similar pattern to labiaplasty recovery. The tissue in this area heals well and most patients find the procedure less uncomfortable than anticipated.
Mild swelling, bruising, and discomfort are normal. Apply cold packs wrapped in a clean cloth — never directly on skin — for 15–20 minutes at a time. Take paracetamol as needed. Wear loose cotton underwear and a sanitary pad. Shower only from 48 hours — avoid baths for the first two weeks.
Most patients in desk-based roles return to work from three to five days. Avoid sitting for prolonged periods in the first few days and minimise friction to the area. Your surgical team will contact you regularly during the first two weeks.
Swelling peaks at three to five days and reduces steadily. By two weeks most bruising has resolved. You will attend a nurse-led wound check at seven to ten days.
Avoid strenuous exercise, swimming, baths, tampons, and sexual activity for six weeks. A surgeon review at six weeks confirms complete healing before full activity resumes.
The final result is visible at three months once all residual swelling has resolved. Scars are not visible in the majority of patients once fully healed.
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Risks of Clitoral Hood Reduction
Clitoral hood reduction has a well-established safety profile as a minor surgical procedure. As with all surgery, risks exist and are discussed in full at consultation before any decision to proceed.
Known risks include:
All risks will be reviewed in detail at your consultation. Performing the procedure in a with a GMC Specialist Register surgeon significantly reduces complication risk compared with procedures performed in non-regulated settings.
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How Much Does Clitoral Hood Reduction Cost?
Clitoral hood reduction at Centre for Surgery starts from £2,495 as a standalone procedure. When combined with , the combined procedure starts from £4,195. All prices are confirmed in writing at consultation with no hidden additions.
The £100 consultation fee is redeemable in full against your procedure cost.
Centre for Surgery is partnered with Chrysalis Finance. 0% APR finance is available on all procedures, subject to status. Full details on our , or call .
Why Choose Centre for Surgery for Clitoral Hood Reduction?
All procedures at Centre for Surgery are performed by consultant plastic surgeons on the . In the UK, cosmetic surgery can legally be performed by doctors without plastic surgery training. GMC Specialist Register status is verifiable — you can confirm your surgeon’s registration directly on the GMC website before booking.
Our Baker Street clinic is regulated and inspected by the . The CQC specifically rated our aftercare programme as “outstanding” — the highest rating available. You have direct clinical access for the first 48 hours and regular nursing contact for the first two weeks.
There are no sales intermediaries between you and your surgeon at Centre for Surgery. The person who assesses your anatomy, explains your options, and answers your questions at consultation is the person who performs your procedure.
No procedure is booked until at least two weeks after consent is given. This period is protected — not a formality. You will not be pressured at any stage.
Centre for Surgery performs combined in the same session regularly — a clinically efficient approach that addresses both concerns in a single recovery period. From £4,195.
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Address: 95–97 Baker Street, London W1U 6RN
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FAQs
What To Expect
Your consultation takes place at our Baker Street clinic with your operating surgeon — a consultant plastic surgeon on the GMC Specialist Register. Your surgeon will take a full medical history, discuss your concerns and goals, and examine the clitoral hood anatomy. They will explain which technique is most appropriate — bilateral excision or excision of redundant folds — and whether combining with labiaplasty is clinically appropriate or desired. The anaesthetic approach (local with sedation, or TIVA) is agreed at this appointment. Before and after photographs from comparable cases are available to view. A written treatment plan and itemised cost is confirmed before you leave. The £100 consultation fee is redeemable against your procedure cost. A mandatory two-week cooling-off period begins from the date consent is signed — no procedure is booked before this period has elapsed.
Stop all nicotine products at least four weeks before surgery — two weeks minimum for local anaesthetic cases. Stop aspirin at least one week before. Stop ibuprofen and all other NSAIDs. Stop supplements that affect bleeding (fish oil, vitamin E, ginkgo biloba, St John’s wort). Avoid alcohol for 48 hours before your procedure. For TIVA cases: no food for six hours before admission and clear fluids only up to two hours before. Your preoperative medical assessment confirms fitness for surgery and anaesthesia. Purchase loose-fitting cotton underwear and sanitary pads before your procedure date. Arrange a responsible adult to collect you and stay with you for the first 24 hours — you must not drive or travel home alone on the day of surgery.
Arrive at our Baker Street clinic at your confirmed admission time. A nurse will admit you, check your vital signs, and prepare you for theatre. Your surgeon will confirm the operative plan with you. For local anaesthetic cases, topical numbing cream is applied before the local anaesthetic is administered — the area will be completely numb before surgery begins. For TIVA cases, your consultant anaesthetist confirms fitness and administers the anaesthetic. Standalone hoodectomy takes approximately one hour. Combined with labiaplasty, the procedure takes approximately two hours. All incisions are closed with fully dissolvable sutures — no return visit for removal is needed. You will be monitored in recovery for one to two hours before discharge. Your patient coordinator will review your written postoperative instructions with you before you leave. A prescription for analgesics is provided. A responsible adult must take you home.
24/7 clinical support is available for the first 48 hours. Our postoperative team contacts you regularly during the first two weeks. Mild swelling and bruising are normal — apply cold packs wrapped in a clean cloth for 15–20 minutes at a time, never directly on skin. Take paracetamol as needed. Shower only for the first two weeks — no baths. Wear loose cotton underwear and sanitary pads for the first six weeks. Most patients in desk-based roles return to work from three to five days. Attend your nurse-led wound check at seven to ten days. Avoid strenuous exercise, swimming, baths, tampons, and sexual activity for six weeks. Your surgeon review at six weeks confirms complete healing before full activity resumes. The final result is visible at three months once all residual swelling has resolved.
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If you’re considering plastic or cosmetic surgery in London, Centre for Surgery offers a level of clinical excellence that few clinics can match.
All procedures at Centre for Surgery are performed exclusively by GMC specialist-registered consultant plastic surgeons — the highest qualification available in the UK. Our surgeons hold positions on the GMC Specialist Register and are members of BAPRAS and ISAPS, ensuring you receive care from fully credentialled specialists, not cosmetic doctors.
Our purpose-built private hospital at Baker Street, Marylebone is independently regulated and inspected by the Care Quality Commission (CQC), which awarded us a Good rating — a standard very few cosmetic surgery facilities in the UK achieve. We use TIVA (Total Intravenous Anaesthesia) as standard, the safest and most advanced form of anaesthesia available for day case surgery.
We offer the full range of surgical and non-surgical treatments under one roof, with in-depth consultations directly with your surgeon — never a sales consultant. Flexible 0% APR finance is available through Chrysalis Finance, and our comprehensive aftercare programme includes 24/7 nursing support.
Centre for Surgery is a CQC-regulated private hospital on London’s Baker Street, delivering plastic and cosmetic surgery through GMC-registered specialist surgeons. Our expertise spans facial procedures including and , , for men, and body contouring procedures such as and . Patient safety, surgical excellence and natural-looking results sit at the heart of everything we do.
Centre for Surgery is a CQC-regulated private hospital on London’s iconic , offering plastic and cosmetic surgery led by GMC-registered consultant surgeons.
Marylebone
London
W1U 6RN
Mon – Sat, 9am – 6pm
Saturday consultations available
- ID: 173623
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