Anatomy | Physiology | Body facts on Instagram: "This Is How an Episiotomy Works An episiotomy is a small, carefully made surgical cut at the opening of the vagina during childbirth. It’s done only when medically necessary to help deliver the baby safely and reduce the risk of severe, uncontrolled tearing. How it works—simply explained: During the final stage of labor, if the baby needs to be delivered quickly or the tissues are under too much strain, a doctor may make a controlled incision. Thi