June 2, 2023


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The Medical Fiqh recommends a special system for gynecological plastic surgery in the genital area

(16) A recommendation that resulted from the International Jurisprudential Conference on Regenerative Cosmetic Gynecology, which concluded its sessions in Jeddah yesterday, as it discussed and researched several topics through working papers related to regenerative cosmetic gynecology. The consultant of women, obstetrics, infertility and cosmetic gynecology, the head of the conference, Dr. Sultan, that the participants in the conference recommended the following:

1- The established principle in Sharia and what the nation is unanimously agreed upon is that man is entrusted with his religion, body, and money, so he should establish God’s right with them, balancing between benefits and harms, and between necessities, needs, and improvements.

2- Our noble Sharia is based on the civilization of integration between the requirements of the spirit, soul and body. As for the civilization that prevails today, it is the civilization of the body. It elevates the body and money above anything else. Bodies improvement, beautification and regeneration.

3- The principle is that man must obey and submit to God’s will for him, as God has written for the children of Adam the stages of their lives (childhood, youth, middle age, and old age), and that man’s contemplation of his return weak after strength has an impact on consideration and reminder, and treatment of the exaggeration of the soul in its desires, so showing the body in The appearance of youth when he reaches a stage of age in which he must show submission to God, and read the features of weakness and brokenness in his body and soul, due to the perfection of monotheism to God with imperfection.

4- The foundation in Islamic law is that the basic principle in the private parts is protection in the event of life and death. It is agreed upon that the dead person cover his private parts and do not touch them without a barrier. Excluded from that are spouses looking at and touching each other. Permissibility for non-married couples is with necessity and need in the legal terminology.

5- The husband may not force his wife to undergo purely non-therapeutic, cosmetic procedures in the genital area.

6- It is agreed that beautification and rejuvenation is for treatment and to return what has gone out of nature to its natural state, so it is from the door of (medicine). Its purpose was to remove a legally permissible deficiency, damage, or distortion, because it was a matter of restoring the organ to its natural benefit.

Dr. Hanan added that the recommendations also included:

7- If the purpose of cosmetic operations is to improve the appearance and achieve the most beautiful image by rejuvenating youth and removing the effects of aging, or because of the negative self-perception of the genital areas of the woman, whether married or single, or a desire to please the husband, then these psychological motives are not considered a legitimate reason that permits surgery in genital area; For the following reasons:

What is in it of exposing the private parts, which is forbidden unanimously, unless there is a necessity or need.

Because psychological harm is not considered in Islamic law as a reason for violating the categorical forbidden, because it is not disciplined, and failure to meet it definitely does not lead to death or embarrassment. And because considering it opens the door to violating taboos with alleged psychological needs and harm.

8- The non-surgical medical method that is the least harmful and most effective in repairing defects should be chosen, and surgery should not be resorted to unless it is the only means to remove the defect or damage, taking into account that its harm does not outweigh its benefit. Because the damage is still the same or higher than it.

9- The medical practitioner should adhere to the provisions of the true Sharia and know its purposes, and not submit to private desires and whims if they are contrary to them.

10- The issuance of a special regulation for gynecological plastic surgery in the genital area by the competent authorities, limiting the powers of doctors specializing in this field, and preventing them from performing them in cases where there are no reasons for necessity or need for treatment.

11- If a medical procedure in the female genital area is required to treat or remove a deformity and the like, then these procedures should be restricted to female doctors, because a woman’s looking at a woman’s private parts is less forbidden than a man’s looking at her.

Dr. Hanan concluded by saying that the recommendations also called for the following points:

12- The health practitioner should distinguish between necessity and the legitimate need and between desire and whim. The law came to extricate the taxpayer from calling for his whims to worship the purposes of the Lawgiver. Body civilization prevailing in today’s world.

13- Spreading awareness of the ruling on plastic surgery in the genital area, which has pervaded the scourge in societies in all media, in connection with the legitimate purposes of human creation, and the considered interests of religion, then the soul, then the mind, then the offspring, then money, and that the necessary money takes precedence over the improvement of the interest of the offspring.

14- We hope to hold a mini-discussion based on Islamic jurisprudence to discuss the detailed recommendations related to the sub-themes of the conference.

15- Attention should be given to holding conferences and seminars that show jurisprudential rulings on medical procedures for women in areas of private parts in order to reach a legal basis for each procedure separately.

16- We suggest creating a professional classification as a precise specialization for regenerative cosmetic gynecology of the genital area branching from the specialty of obstetrics and gynecology by the Saudi Commission for Health Specialties.