How it works

There are two main types of episiotomies:

• Midline incision. A midline incision is done vertically. This kind of cut is easier to repair. But it has a higher risk of tearing into the anal area.
• Mediolateral incision. A mediolateral incision is done at an angle. This kind of cut is less likely to tear into the anal area. But it may be more painful during recovery.

If you get an episiotomy and have an epidural block, you typically won't feel the incision or repair. If you haven't had anesthesia or if the anesthesia has worn off, you'll likely receive a shot of local anesthetic to numb the tissue.