Background: Clitoral reconstruction is a controversial surgical procedure done for women who have undergone medically unnecessary, often ritualistic genital cutting involving the clitoris. Such cutting is known by several terms; we will use Female Genital Mutilation/Cutting (FGM/C). Treatments offered to women affected by complications of FGM/C include defibulation (releasing the scar of infibulation to allow penetrative intercourse, urinary flow, physiological delivery, and menstruation) and clitoral reconstruction to decrease pain, improve sexual response, and create a pre-FGM/C genital appearance. Aim: In this paper, our aim is to summarize the medical literature regarding clitoral reconstruction and stimulate ethical discussion surrounding potential adverse impacts on women who undergo the procedure. Methods: A broad literature review was done to search any previous publications regarding the techniques and ethical considerations for clitoral reconstruction. Results: While we dsiscuss the limited evidence regarding the efficacy of clitoral reconstruction, we did not find any reports discussing ethical implications to date. Conclusion: We present a preliminary ethical analysis of the procedure and its potential impact on women with FGM/C.

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