One of the most popular genital surgeries is labia minora reduction. When a similar procedure is performed on healthy girls in some African countries as a coming-of-age rite to control their sexuality, Westerners denounce it as genital mutilation; in the U.S. of A., it's called cosmetic enhancement. But both procedures are based on misogynist notions of female genitalia as ugly, dirty, and shameful. And though American procedures are generally performed under vastly better conditions (with the benefit of, say, anesthesia and antibiotics), the postsurgical results can be similarly horrific, involving loss of sensation, chronic pain, and infection.