This is a surgery with a permanent change in the body of a female hence the decision to get this procedure done has to be medically justified and should be the last line of action. It is highly discouraged for women of age up to 40 years as they have a scope of bearing pregnancy. The chances of pregnancy reduce after 40 - 45 years of age so this procedure could be proactively considered for females in their late 40s and above, provided the individual has fulfilled her choice of bearing children and it is necessary for her to continue healthy and comfortable living. Consent of a patient of any legal age is necessary irrespective.