PURPOSE:
Midwives play a pivotal role in advancing care for survivors of Female Genital Mutilation/Cutting (FGM/C). This presentation demonstrates leadership, advocacy and innovation from a group of FGM/C specialist midwives who, driven by the voices and needs of survivors, are campaigning to establish the UK’s first national vulval-clitoral reconstruction service, integrated with psychosexual and trauma therapy. We will share this evolving survivor-led campaign aiming to increase the evidence base around reconstruction surgery; improve access to psychosexual and trauma therapy; and highlighting the lack of availability of reconstructive surgery.

DISCUSSION:
FGM/C affects more than 230 million women worldwide. Vulva-clitoral reconstruction, introduced in France in 1998, is available in parts of Europe, Africa, and the US, and is recommended by the WHO to alleviate pain, restore genital appearance, and improve sexual function. We will explore midwives’ role in service design, survivor engagement, and clinical integration, reflecting upon the challenges in policy navigation and institutional change. Insights will be offered into replicable survivor-centred models of innovation in sexual and reproductive health.

EVIDENCE WHERE RELEVANT:
Presentation facilitated by specialist midwives, psychosexual therapist and survivor using a photo-story to illustrate how we: · Formed a multidisciplinary collective (called ACERS_UK) led jointly by women with lived experience, healthcare professionals (midwives, surgeons, therapists), charity workers, and activists. Secured funding for community engagement events Launched a Parliamentary petition Gave evidence to the UK Parliament Women and Equalities Committee Co-designed a clinical trial Co-created educational materials promoting positive vulval messaging, accurate genital anatomy and physiology for survivors and healthcare professionals and myth busting around sexuality and what is "normal"· Represented the UK at an international reconstruction masterclass Observed surgery in France Hosted national stakeholder events Published in peer-reviewed journals

KEY MESSAGE:
Midwives can lead campaigns for healthcare equity and social justice Midwifery research must be inclusive (‘with’ or ‘by’ women rather than ‘to’, ‘about’ or ‘for’ them) Physiological - midwife interventions (Including three-minute presentation competition)