{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:05Z","timestamp":1787016905437,"version":"build-2736575974"},"reference-count":33,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,9,1]]},"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore general practitioner's (GP) knowledge, attitudes and practice regarding female genital cosmetic surgery (FGCS) in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>GPs who attended a women's health seminar and GPs who subscribed to a non-governmental, national health professional organisation database that provides education to primary care professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A national online survey of GPs was conducted for the 10-week period, starting 1\u2005week prior and 2\u2005months after a Women's Health seminar was held in Perth on 8 August 2015. 31 questions prompted GPs' knowledge, attitudes and practice in managing patients asking about FGCS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The survey was fully completed by 443 GPs; 54% had seen patients requesting FGCS. Overall, 75% (95% CI 71% to 79%) of GPs rated their knowledge of FGCS as inadequate and 97% (95% CI 94% to 99%) had been asked by women of all ages about genital normality. Of those who had seen patients requesting FGCS, nearly half (44%, 95% CI 38% to 51%) reported they had insufficient knowledge of risks of FGCS procedures and 35% (95% CI 29% to 41%) reported seeing females younger than 18\u2005years of age requesting FGCS. Just over half (56%, 95% CI 51% to 60%) of the GPs felt that women should be counselled before making a referral for FGCS. More than half the GPs suspected psychological disturbances in their patients requesting FGCS such as depression, anxiety, relationship difficulties and body dysmorphic disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GPs see women of all ages presenting with genital anatomy concerns and in those who request FGCS, GPs often suspected a range of mental health difficulties. GPs require greater education to support their patients who request FGCS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-013010","type":"journal-article","created":{"date-parts":[[2016,9,27]],"date-time":"2016-09-27T20:49:42Z","timestamp":1475009382000},"page":"e013010","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":44,"title":["Female genital cosmetic surgery: a cross-sectional survey exploring knowledge, attitude and practice of general practitioners"],"prefix":"10.1136","volume":"6","author":[{"given":"M","family":"Simonis","sequence":"first","affiliation":[{"name":"Department of General Practice, University of Melbourne, Carlton, Victoria, Australia"},{"name":"Royal Australian College of General Practitioners, Expert Committee Quality Care, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Manocha","sequence":"additional","affiliation":[{"name":"Sydney Medical School Northern, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Academic Department of Psychiatry, Kolling Institute, Northern Sydney Local Health District, St Leonards, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J J","family":"Ong","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia"},{"name":"Melbourne Sexual Health Centre, Carlton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,9,26]]},"reference":[{"key":"2025121411043454000_6.9.e013010.1","doi-asserted-by":"publisher","DOI":"10.1080\/02646830701759793"},{"key":"2025121411043454000_6.9.e013010.2","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1007\/s00192-007-0510-x","article-title":"Comment on Pauls: \u2018Nip, tuck and rejuvenate: the latest frontier for the gynecologic surgeon","volume":"19","author":"Pardo","year":"2008","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"2025121411043454000_6.9.e013010.3","unstructured":"The American Society of Aesthetic Plastic Surgery. 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