Episiotomy - How it is done 

How an episiotomy is performed 

An episiotomy is usually a very simple operation. Local anaesthetic is used in order to numb the area around the vagina so you will not feel any pain. Alternatively, if an epidural anaesthetic has already been given, the dose can be ‘topped up’ before the cut is made.

Whenever possible, the doctor or midwife will make a small, diagnonal cut from the back of the vagina and directed down and out to one side. This is called a mediolateral episiotomy.

Research has found that this type of episiotomy has a lower risk of complications compared to other types of episiotomies.

Following the birth of your baby, the cut is stitched together using dissolvable stitches.

Last reviewed: 24/03/2011

Next review due: 24/03/2013