Can I have part of my pelvic bone removed to make my vigina larger

Checked on January 19, 2026
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Executive summary

Removing a portion of the pelvic bone specifically to "make the vagina larger" is not described as a standard or accepted procedure in the medical literature provided; vaginal size and function are altered surgically by soft-tissue procedures (vaginoplasty, perineoplasty, labiaplasty) rather than by excising pelvic bone, and bone procedures in the pelvis are used for entirely different indications with significant risks [1] [2] [3].

1. What the question really asks: bone versus soft tissue solutions

The user’s phrase about removing pelvic bone to enlarge the vagina pits two different anatomic domains against one another: the bony pelvis (ilium, pubis, ischium) and the soft tissues that form the vaginal canal and vestibule; the sources show standard approaches to change vaginal caliber or function focus on reconstructing or tightening soft tissues (vaginoplasty, perineorrhaphy, pelvic floor reconstruction), not on bone excision as a tool to create a wider vaginal canal [1] [4] [5].

2. What surgeons actually do when they alter vaginal size or function

Procedures described repeatedly in clinical and cosmetic practice include vaginoplasty to tighten or reconstruct the vaginal canal, labiaplasty and monsplasty to reshape external tissues, and pelvic reconstructive operations to repair prolapse and restore organ support; these operations work with mucosa, fascia, ligaments, and muscle and can change diameter, length, or support but do so without removing pelvic bone [1] [6] [4] [7].

3. Why pelvic bone removal is not the documented path and what bone surgery is used for

Pelvic osteotomies exist—complex cuts and reorientations of the ilium and acetabulum performed for hip dysplasia and other orthopedic problems—and they involve major incisions, bone grafting, hardware, and known risks and complications, not cosmetic alteration of the vaginal canal; the literature provided treats osteotomy as a way to reposition articular surfaces and reconstruct hips, not to enlarge a vaginal passage [3]. Cosmetic “pelvic plasty” examples in the files show bone augmentation with implants to widen hip contours, or titanium plates to change iliac crest shape, which proves bone work can alter outer pelvic shape but does not document removing bone to enlarge the internal vaginal lumen and comes with significant operative complexity [8] [9].

4. Risks, professional opinion and professional caution

The professional resources emphasize that vaginal procedures carry risks and require careful patient selection and counseling; authoritative clinicians and societies urge caution around cosmetic vaginal procedures and stress reconstructive indications, postoperative recovery, and the multifactorial nature of sexual function—none of the sources recommend—or document—a pelvic-bone excision to increase vaginal size as safe, effective, or standard practice [2] [1] [5]. Orthopedic pelvic osteotomies are explicitly associated with substantial surgical morbidity, grafts, and hardware and are performed for biomechanical hip reasons, not genital enlargement [3].

5. Practical alternatives and limits of the reporting

For people seeking change in vaginal size, the documented alternatives in these sources are vaginoplasty (reconstructive or tightening), labiaplasty, monsplasty, pelvic floor therapy, and non‑invasive modalities like energy‑based vaginal rejuvenation; insurance may cover reconstructive indications but cosmetic interventions vary by practice and evidence is mixed, so multidisciplinary consultation is advised [1] [6] [10] [11]. The sources reviewed do not describe any accepted procedure that involves removing pelvic bone to enlarge the vaginal canal specifically, and they do not provide outcomes data for such an approach—this absence limits any definitive claim that it is medically appropriate or safe [3] [8].

Want to dive deeper?
What are the medical indications for vaginoplasty and how do outcomes differ between reconstructive and cosmetic cases?
What are the risks and recovery expectations for pelvic osteotomy and for vaginoplasty respectively?
What non‑surgical options exist to address concerns about vaginal laxity, and what evidence supports them?