This page lists the gynaecology hospitals in our directory offering Episiotomy Repair in Delhi NCR, India, including Apollo Hospitals, Medanta - The Medicity, Artemis Hospital, Fortis Memorial Research Institute and others. Each listing links through to the hospital's full profile page.
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Compare 35 accredited hospitals for Gynaecology in Delhi NCR, India
Featured🇮🇳 Apollo Hospitals
Ranks #1 in this list by listed rating (4.9/5 from 1240 reviews).
🇮🇳 Medanta - The Medicity
Ranks #2 in this list by listed rating (4.9/5 from 2150 reviews).
🇮🇳 Artemis Hospital
Ranks #3 in this list by listed rating (4.9/5 from 64 reviews).
🇮🇳 Fortis Memorial Research Institute
Ranks #4 in this list by listed rating (4.8/5 from 1100 reviews).
🇮🇳 Max Super Specialty Hospital
Ranks #5 in this list by listed rating (4.8/5 from 1300 reviews).
🇮🇳 All India Institute of Medical Sciences (AIIMS)
Ranks #6 in this list by listed rating (4.7/5 from 3500 reviews).
🇮🇳 CK Birla Hospital
Ranks #7 in this list by listed rating (4.7/5 from 162 reviews).
🇮🇳 Centre for Sight
Ranks #8 in this list by listed rating (4.7/5 from 181 reviews).
🇮🇳 Max Super Specialty Hospital, Gurgaon
Ranks #9 in this list by listed rating (4.6/5 from 95 reviews).
🇮🇳 Max Super Speciality Hospital, Patparganj
Ranks #10 in this list by listed rating (4.6/5 from 97 reviews).
🇮🇳 Primus Super Speciality Hospital
Ranks #11 in this list by listed rating (4.6/5 from 142 reviews).
🇮🇳 PSRI Multispeciality Hospital
Ranks #12 in this list by listed rating (4.6/5 from 318 reviews).
🇮🇳 Fortis Hospital, Shalimar Bagh
Ranks #13 in this list by listed rating (4.5/5 from 68 reviews).
🇮🇳 Sarvodaya Hospital
Ranks #14 in this list by listed rating (4.5/5 from 74 reviews).
🇮🇳 Indian Spinal Injuries Center
Ranks #15 in this list by listed rating (4.5/5 from 76 reviews).
🇮🇳 Max Super Speciality Hospital, Shalimar Bagh
Ranks #16 in this list by listed rating (4.5/5 from 82 reviews).
🇮🇳 Fortis Hospital, Noida
Ranks #17 in this list by listed rating (4.5/5 from 88 reviews).
🇮🇳 Venkateshwar Hospital
Ranks #18 in this list by listed rating (4.5/5 from 69 reviews).
🇮🇳 CK Birla Hospital
Ranks #19 in this list by listed rating (4.5/5 from 72 reviews).
🇮🇳 Fortis Flt. Lt. Rajan Dhall Hospital
Ranks #20 in this list by listed rating (4.5/5 from 75 reviews).
🇮🇳 Asian Institute of Medical Sciences
Ranks #21 in this list by listed rating (4.5/5 from 119 reviews).
🇮🇳 Manipal Hospitals Dwarka
Ranks #22 in this list by listed rating (4.4/5 from 54 reviews).
🇮🇳 Sir Ganga Ram Hospital
Ranks #23 in this list by listed rating (4.4/5 from 24 reviews).
🇮🇳 Fortis Escorts Hospital
Ranks #24 in this list by listed rating (4.4/5 from 31 reviews).
🇮🇳 Marengo Asia Hospitals
Ranks #25 in this list by listed rating (4.4/5 from 54 reviews).
🇮🇳 Yatharth Super Specialty Hospital
Ranks #26 in this list by listed rating (4.4/5 from 61 reviews).
🇮🇳 Paras Hospitals
Ranks #27 in this list by listed rating (4.4/5 from 59 reviews).
🇮🇳 Fortis Hospital Manesar
Ranks #28 in this list by listed rating (4.4/5 from 74 reviews).
🇮🇳 Marengo Asia Hospitals Gurgaon
Ranks #29 in this list by listed rating (4.4/5 from 103 reviews).
🇮🇳 Metro Hospital Noida
Ranks #30 in this list by listed rating (4.4/5 from 121 reviews).
🇮🇳 Sharda Hospital
Ranks #31 in this list by listed rating (4.4/5 from 130 reviews).
🇮🇳 Fortis Hospital, Greater Noida
Ranks #32 in this list by listed rating (4.3/5 from 28 reviews).
🇮🇳 Fortis Escorts Hospital Jaipur
Ranks #33 in this list by listed rating (4.3/5 from 132 reviews).
🇮🇳 Max Super Speciality Hospital, Saket
Ranks #34 in this list by listed rating (3.8/5 from 49 reviews).
🇮🇳 BLK-Max Super Speciality Hospital
Ranks #35 in this list by listed rating (3.8/5 from 48 reviews).
How we selected these hospitals
A hospital appears on this page when Gynaecology is among its listed specialties and it is located in Delhi NCR, India. Hospitals are not ranked by a proprietary "best" score — the order follows the listed rating (highest first), the same field shown on each hospital's profile.
How to Select the Best Hospital for Episiotomy Repair in Delhi NCR, India?
Choosing the right hospital for episiotomy repair is one of the most important decisions in your treatment journey. A few factors are worth weighing before you decide:
International Accreditation
Look for a hospital with international accreditation such as JCI or NABH — see the accreditation badges shown for each hospital below.
Specialization
Check that the hospital's listed specialties actually include gynaecology rather than only general care.
Capacity and Track Record
Bed count and year established (shown below for each hospital) are a reasonable proxy for scale and operating experience.
Transparent Costs
Ask for an itemised, all-inclusive estimate — hospital charges, room category and stay — before you travel. Our cost calculator (linked below) gives a starting estimate.
Understanding Episiotomy Repair
Episiotomy repair and perineal tear repair are precision surgical procedures performed to restore the anatomical integrity of the perineum following childbirth-related lacerations or surgical incisions, with primary repair success rates exceeding 90% when performed by experienced urogynaecological surgeons using modern layered closure techniques. Complications such as wound dehiscence, dyspareunia, chronic perineal pain, or failed primary repairs often require secondary or tertiary repair, driving international patients to seek specialized expertise abroad. GAF Healthcare connects patients with JCI- and NABH-accredited hospitals in India and JCI- and DHA-accredited facilities in Dubai and Abu Dhabi, offering world-class perineal reconstruction at a fraction of Western costs, with end-to-end medical travel coordination. Hospital Stay: 1–3 days (day-case to overnight admission for primary repair; 2–3 days for complex secondary or fistula-associated repairs) • Total Stay in Country (Fit-to-Fly): 2–4 weeks (2 weeks minimum for uncomplicated primary repair with clean wound healing; 4–6 weeks for complex secondary repair or associated pelvic floor reconstruction) • Success Rate: 90–95% (primary anatomical closure); 80–88% (secondary repair for failed primary or obstetric anal sphincter injury — OASIS)
Clinical Overview
The perineum — the fibromuscular tissue between the vaginal introitus and the anal verge — is the principal load-bearing structure of the pelvic floor during vaginal delivery. Perineal tears are classified by the Royal College of Obstetricians and Gynaecologists (RCOG) and the International Urogynecological Association (IUGA) into four degrees: first-degree (fourchette skin only), second-degree (involving the perineal muscles but sparing the anal sphincter), third-degree (partial or complete external anal sphincter — EAS — disruption, subdivided 3a, 3b, 3c), and fourth-degree (complete EAS and internal anal sphincter — IAS — disruption with rectal mucosal involvement). An episiotomy is a deliberately placed surgical incision — mediolateral (angled 45–60° from the midline, preferred in evidence-based practice) or midline — intended to enlarge the vaginal outlet. When inadequately repaired, these injuries result in pelvic floor dysfunction, stress or urge urinary incontinence, faecal urgency or incontinence, chronic perineal pain, sexual dysfunction, and rectovaginal fistula. The physiological impact of a poorly healed perineal injury extends beyond local discomfort. Disruption of the external anal sphincter triggers pudendal neuropathy, which can compound fecal incontinence even after anatomically successful repair. The levator ani, puborectalis, and superficial transverse perineal muscles, when inadequately reapproximated, contribute to pelvic organ prolapse over time. Endoanal ultrasound (EAUS) and anorectal manometry are the gold-standard diagnostic tools used to quantify sphincter defects and resting/squeeze pressures, respectively, before planning secondary repair. MRI of the pelvis with dedicated perineal coil sequences offers superior soft-tissue resolution for complex cases, delineating sphincter architecture, fistula tracts, and levator avulsion injuries. The standard of care for immediate (primary) repair involves layered, interrupted or continuous absorbable suturing — typically Polyglactin 910 (Vicryl) 2-0 or 3-0 — of the rectal mucosa, IAS, EAS (using the overlap or end-to-end technique for OASIS), perineal muscles, and vaginal epithelium, performed under regional or general anaesthesia in an operating theatre with adequate lighting, assistance, and anaesthesia. Secondary repair — undertaken weeks to years after a failed primary closure — requires preoperative bowel preparation, broad-spectrum antibiotic prophylaxis, and meticulous dissection to separate the rectovaginal septum, followed by sphincter reconstruction with or without levatorplasty and perineoplasty. In centres of excellence in India and the UAE, robotic-assisted laparoscopic approaches and biologic mesh augmentation are available for complex pelvic floor reconstruction associated with perineal defects.
Who is a Candidate?
• Women with Grade 3 or Grade 4 perineal tears (OASIS — Obstetric Anal Sphincter Injuries) identified at delivery or detected postpartum via endoanal ultrasound showing a sphincter defect >30° arc • Patients with symptomatic episiotomy dehiscence (wound breakdown), chronic episiotomy scar pain (granuloma, neuroma, or keloid), or episiotomy scar dyspareunia unresponsive to conservative management • Women with secondary perineal defects: failed primary OASIS repair confirmed by persistent faecal urgency or incontinence (St. Mark's Incontinence Score ≥10), with EAUS showing residual sphincter gap >1 cm • Patients with rectovaginal fistula (low or mid-vaginal) of obstetric origin, presenting with passage of flatus or stool per vaginum • Women with perineal body deficiency causing posterior vaginal wall prolapse (rectocele or enterocele) requiring concurrent perineorrhaphy • Candidates for complex repair must undergo: Endoanal Ultrasound (EAUS) — 3D preferred; Anorectal Manometry (resting pressure, squeeze pressure, pudendal nerve terminal motor latency — PNTML); MRI pelvis with perineal protocol; Urodynamic studies (if concomitant urinary incontinence is present); Proctosigmoidoscopy (for fourth-degree or fistula cases); Full blood count, coagulation profile (PT/INR, aPTT), HbA1c (diabetic screening), HIV/HBsAg/HCV serology, and blood group typing • CONTRAINDICATIONS: Active perineal or perianal infection or abscess (must be treated before repair); Active Crohn's disease involving the anorectum (relative contraindication; requires MDT decision); Radiation proctitis (significantly impairs healing — alternative approaches required); Severe pudendal neuropathy with PNTML >2.5 ms bilaterally (poor prognosis for sphincter repair — sacral neuromodulation may be preferred); Uncorrected coagulopathy; Patient unable to comply with postoperative bowel regimen and pelvic floor physiotherapy
Treatment Options & Approaches
PRIMARY EPISIOTOMY AND PERINEAL TEAR REPAIR (ACUTE SETTING) First- and second-degree tears: Continuous, unlocked Polyglactin 910 (Vicryl Rapide 2-0) suture repair of the vaginal epithelium with a single suture carried through the perineal muscle layer and skin, using the RCOG-recommended 'continuous non-locking' technique shown in the SUNS trial to reduce short-term pain compared to interrupted sutures. Local infiltration with 0.5% bupivacaine + 1:200,000 adrenaline is standard for intraoperative haemostasis and postoperative analgesia. Third-degree tears (OASIS): Two techniques are validated: (1) End-to-end (approximation) repair — the torn EAS ends are apposed without overlap, using interrupted figure-of-eight PDS (Polydioxanone) 2-0 sutures; (2) Overlap repair — the EAS stumps are overlapped by 1–1.5 cm and secured with horizontal mattress sutures (preferred for complete EAS disruption, 3b/3c). The IAS, when identified, is repaired separately with interrupted PDS 3-0 sutures. All OASIS repairs are performed in theatre under regional (spinal) or general anaesthesia with a trained colorectal or urogynaecological surgeon. Fourth-degree tears: Additional repair of the rectal mucosa with interrupted, inversion sutures of Polyglactin 2-0 (mucosal layer) before sphincter reconstruction. Broad-spectrum antibiotic prophylaxis (cefuroxime + metronidazole) is mandatory. A stool softener regimen (lactulose + macrogol) is initiated postoperatively for 10–14 days to prevent straining. SECONDARY PERINEAL REPAIR (ELECTIVE/DELAYED) Sphincter Overlap Repair (Overlapping Sphincteroplasty): The gold-standard secondary procedure for faecal incontinence due to EAS defect. A curved perineal incision is made, the EAS scar tissue is mobilised, and the muscle ends are overlapped by 1.5–2 cm and secured with two rows of horizontal mattress PDS sutures. Success rates (continence restoration) range 50–75% at 5 years, declining with age and pudendal neuropathy. Perineorrhaphy and Levatorplasty: Reconstruction of the perineal body by reapproximating the transverse perineal muscles and bulbocavernosus muscles using Polyglactin 0, combined with plication of the levator ani (levatorplasty) for associated rectocele or perineal descent. Performed under spinal anaesthesia as a standalone or concomitant procedure. Rectovaginal Fistula Repair (Obstetric): Approaches depend on fistula level and sphincter status: (a) Perineal (transsphincteric) approach with concurrent sphincteroplasty for low fistulas with OASIS; (b) Endorectal advancement flap (mucosal flap) — mobilising a 3–4 cm wide, well-vascularised rectal flap to cover the fistula opening; (c) Transabdominal or laparoscopic repair for high fistulas, with omentum interposition. A defunctioning loop colostomy may be used selectively for complex or recurrent cases to allow healing. ROBOTIC-ASSISTED AND MINIMALLY INVASIVE APPROACHES: In advanced centres in India (tertiary NABH/JCI hospitals in Mumbai, Chennai, Bengaluru, Hyderabad) and the UAE (Cleveland Clinic Abu Dhabi, Mediclinic City Hospital Dubai), robotic-assisted laparoscopic perineal reconstruction is offered for complex rectovaginal fistula repair or concomitant pelvic organ prolapse (sacrocolpopexy + perineoplasty). The da Vinci Surgical System provides 3D magnification and articulated instrumentation for precise dissection in the narrow pelvis, reducing blood loss and improving tissue approximation. BIOLOGIC MESH AUGMENTATION: Acellular dermal matrix (ADM) or porcine small intestinal submucosa (SIS) grafts may be interposed at the rectovaginal septum in recurrent cases to reinforce the repair and reduce recurrence. Synthetic mesh is avoided in the perineum due to high erosion and infection risk in this contaminated field. SACRAL NEUROMODULATION (INTERSTIM): For patients with persistent faecal incontinence after anatomically successful sphincter repair — or where sphincter repair is not feasible due to severe neuropathy — sacral neuromodulation (SNM/InterStim, Medtronic) is offered. A percutaneous sacral nerve stimulator lead is placed at S3 foramina under fluoroscopic guidance; success rates for faecal incontinence exceed 70% in appropriately selected patients.
Recovery
PHASE 1 — PRE-TRAVEL CONSULTATION (2–4 WEEKS BEFORE ARRIVAL) Step 1: Submit medical records to GAF Healthcare — discharge summaries, operative notes (if prior repair), EAUS images, anorectal manometry reports, pelvic MRI, urodynamic study reports, and current medications. GAF's coordinating urogynaecologist reviews records within 48 hours and provides a treatment plan, cost estimate, and hospital recommendation. Step 2: Virtual pre-operative consultation with the operating surgeon in India or UAE via secure telemedicine. Surgeon reviews imaging, discusses technique selection (primary vs. secondary repair, sphincteroplasty vs. SNM), and confirms candidacy. Step 3: GAF Healthcare initiates e-Medical Visa application for India (Indian e-Medical Visa allows up to 60-day stay, extendable) or UAE visa-on-arrival/entry visa coordination. Pre-operative dietary advice and bowel preparation instructions are issued. Cessation of anticoagulants (warfarin stopped 5 days pre-op; DOACs stopped 24–48 hours pre-op as per anaesthesia guidance) and NSAIDs is confirmed. PHASE 2 — ARRIVAL AND PRE-OPERATIVE WORKUP (DAY 1–2 IN COUNTRY) Step 4: GAF airport transfer to hospital or partner accommodation. Pre-operative admission bloods (FBC, coagulation, metabolic panel, HbA1c, serology), ECG, and anaesthetic review. Bowel preparation (oral polyethylene glycol solution) initiated the evening before surgery for secondary/complex repairs. Prophylactic antibiotic protocol confirmed by the anaesthetic team. PHASE 3 — SURGICAL PROCEDURE (DAY 2–3) Step 5 (Primary Repair): Performed under spinal or general anaesthesia. Operative time: 30–90 minutes depending on tear degree. Patient positioned in lithotomy. Systematic identification of all torn anatomical layers. Layered closure as per technique described. Intraoperative proctoscopy performed to confirm no inadvertent rectal suture placement. Urinary catheter inserted (Foley 12–14Fr) for 12–24 hours. Step 5 (Secondary/Complex Repair): Operative time: 1.5–3 hours. Includes rectal examination under anaesthesia, EAUS confirmation of defect intraoperatively if available, sphincteroplasty, perineorrhaphy, and/or fistula repair as planned. Suprapubic or urethral catheterisation for 24–48 hours. Intraoperative blood loss typically minimal (<200 mL); transfusion rare. PHASE 4 — IMMEDIATE POSTOPERATIVE RECOVERY (DAY 1–3 POST-OP) Step 6: IV analgesia (paracetamol + low-dose opioid bridging), then transition to oral paracetamol + ibuprofen (if tolerated) + topical lidocaine gel to perineum. Low-residue diet resumed Day 1. Stool softener regimen (lactulose 15 mL BD + macrogol sachet OD) initiated. Perineal hygiene: warm water irrigation (bidet or sitz bath) 3–4 times daily. Catheter removed; voiding trial confirmed. Wound inspected; absorbable sutures do not require removal. Discharge with written wound care instructions. PHASE 5 — POST-DISCHARGE IN COUNTRY (WEEKS 1–4) Step 7 (Weeks 1–2): Outpatient wound review at Day 7 and Day 14. Wound dehiscence (2–5% incidence) managed by secondary closure or conservative moist wound care. Pelvic floor physiotherapy assessment initiated at Day 10–14 (gentle perineal massage, biofeedback). Complete rest from strenuous activity and sexual intercourse for minimum 6 weeks. Step 8 (Weeks 2–4 — Complex Cases): Second postoperative review including digital rectal examination and EAUS to assess sphincter integrity. Anorectal manometry scheduled at 6 weeks post-op to quantify functional outcome. Colostomy reversal (if performed) planned at 8–12 weeks post-repair. PHASE 6 — FIT-TO-FLY AND FOLLOW-UP Step 9: Surgeon issues Fit-to-Fly certificate. Uncomplicated primary repair: fit to fly at 2 weeks if wound healed and no haematoma. Secondary sphincteroplasty or complex repair: fit to fly at 4–6 weeks. Long-haul flights require ambulatory precautions (hydration, compression stockings, 2-hourly ambulation). Detailed operative and histopathology reports forwarded to GAF Healthcare for sharing with the patient's home gynaecologist. Teleconsult at 6 weeks and 3 months post-discharge.
Risks to be aware of
Patients considering episiotomy or perineal tear repair must be counselled on a spectrum of procedure-specific risks that span the intraoperative, early postoperative, and long-term phases. Wound dehiscence — partial or complete breakdown of the perineal repair — occurs in 2–8% of primary repairs and is more common in cases complicated by infection, haematoma, or high tissue tension; it is managed by secondary closure or moist wound-healing protocols. Perineal infection and abscess formation (risk 1–4%) require wound drainage and systemic antibiotics (typically co-amoxiclav or metronidazole + ciprofloxacin). Haematoma formation in the ischiorectal fossa or paravaginal space may present as severe perineal pain within 24 hours and may require surgical evacuation under anaesthesia. Dyspareunia (painful intercourse) is reported in up to 10–20% of patients at 3 months, reducing to 5–10% at 12 months; it is addressed with vaginal oestrogen (in postmenopausal women), perineal massage, pelvic floor physiotherapy, and — in refractory cases — scar revision or vestibuloplasty. Faecal incontinence or urgency may persist or recur after sphincter repair; functional success (continence of solid and liquid stool) declines from approximately 75% at 1 year to 50–55% at 10 years, largely due to progressive pudendal neuropathy. Rectovaginal fistula formation following fourth-degree tear repair occurs in fewer than 2% of cases in experienced centres but represents a significant complication requiring reoperation. Suture granuloma or perineal neuroma causing chronic localised pain requires excision under local anaesthesia. Urinary retention (requiring temporary catheterisation) occurs in 5–10% of patients in the immediate postoperative period. Patients with diabetes (HbA1c >8%), active smoking, or immunosuppression face significantly elevated risks of wound failure and should be optimised preoperatively. Deep vein thrombosis and pulmonary embolism risk is low given the brevity of surgery and early mobilisation, but thromboprophylaxis (LMWH, compression stockings) is routinely used for patients with BMI >30 or a personal history of VTE. All surgical risks are discussed in detail during the preoperative consultation with GAF Healthcare's partner surgeons, and patients are provided with a written risk-benefit summary.
Why GAF Healthcare
GAF Healthcare provides comprehensive, patient-centred non-medical coordination for international patients travelling to India or the UAE for episiotomy and perineal tear repair. INDIA LOGISTICS: GAF Healthcare manages the end-to-end Indian e-Medical Visa application process. The Indian e-Medical Visa permits up to three entries and a stay of 60 days per visit, extendable to 6 months through the Foreigners Regional Registration Office (FRRO). Visa invitation letters from GAF's partner JCI- and NABH-accredited hospitals (including Fortis, Apollo, Manipal, Aster, and Kokilaben Dhirubhai Ambani Hospital) are issued within 24–48 hours of treatment confirmation. GAF arranges up to two attendant visas (e-Medical Attendant Visa) for accompanying family members. Airport-to-hospital transfers are provided in sanitised, air-conditioned vehicles with a GAF care coordinator present. Partner accommodation — serviced apartments or hospital guest houses within 500 metres to 2 km of the treating hospital — is arranged at INR 1,500–4,500 per night ($18–$55 USD). Dedicated multilingual patient coordinators (Arabic, Russian, French, Swahili, and Bangla available) accompany patients to clinical appointments. SIM cards with local data, currency exchange guidance, and 24/7 emergency helpline access are provided on arrival. UAE LOGISTICS (DUBAI / ABU DHABI): Most international patients from GCC countries, the UK, USA, EU, and South/Southeast Asia qualify for UAE visa-on-arrival or receive a free entry visa valid for 30–90 days. GAF Healthcare confirms visa eligibility based on passport nationality and, where required, applies for a medical/tourist visa through UAE immigration channels with hospital support letters from JCI- and DHA-accredited partner facilities (including Cleveland Clinic Abu Dhabi, Mediclinic City Hospital Dubai, American Hospital Dubai, and King's College Hospital London — Dubai). Airport transfers in premium vehicles are arranged from Dubai International (DXB), Abu Dhabi International (AUH), or Al Maktoum International (DWC). Partner hotel accommodation (3-star to 5-star, per patient preference) is booked within the Dubai Healthcare City (DHCC) precinct or near treating hospitals in Abu Dhabi, typically at $80–$250 per night. GAF's UAE care coordinator accompanies patients to all hospital appointments and serves as a liaison with the clinical team, insurance desk, and pharmacy. Arabic-speaking nurse coordinators are available for GCC and MENA patients. Travel insurance guidance and pre-authorisation for international health insurance claims are facilitated by GAF's billing support team.
Common questions about Episiotomy Repair
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Related pages
How GAF Healthcare Assists in Choosing the Best Hospital for Episiotomy Repair in Delhi NCR, India
Discover the Top Hospitals for Episiotomy Repair in Delhi NCR, India
This page lists 35 accredited gynaecology hospitals in Delhi NCR, India, so you can compare accreditation, specialties and bed capacity in one place.
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