ABSTRACT
In this chapter, the author presents clitoral hood reconstruction techniques as primary procedures. Historically, Graves et al. described removing the portions of the clitoral hood as an integral part of clitoral reduction techniques in the case of clitoromegaly treatment. The clitoral hood itself, as well as the labia minora, looks different in different women. A thorough assessment of a patient's relevant anatomy and treatment goals will guide the surgeon in choosing the optimal approach to the clitoral hood. The patient always should be positioned in gynecologic dorsal lithotomy with legs fully open. Technically in the classic anterior approach a small amount of anesthesia is injected into the tip of clitoral hood and 2–3 mm of the skin is resected. Postoperative care is identical to that required after labia minora reduction. Airing the wound and keeping it clean and dry are the most important activities.
