An episiotomy is an incision made in the perineum — the tissue between the vaginal opening and the anus — during childbirth. A midline (median) incision (shown at left) is done vertically. A mediolateral incision (shown at right) is done at an angle. A midline incision is easier to repair, but it has a higher risk of extending into the anal area. A mediolateral incision offers the best protection from an extended tear affecting the anal area, but it is often more painful and is more difficult to repair.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press.
Your gift can go twice as far to advance cancer research and care!