Some medical practitioners have asserted that the procedure is mostly an urban legend, and false attribution, while others have claimed to know doctors who perform the procedure. The term is also referenced in What Women Want to Know (1958), and in The Year After Childbirth: Surviving and Enjoying the First Year of Motherhood, written by Sheila Kitzinger in 1994. Cupples was called upon to explain the 'Husband Stitch,' which he did as follows: He said that when he was stitching up a ruptured perineum, of a married lady, the husband was an anxious and interested observer, and when he had taken all the stitches necessary, the husband peeped over his shoulders and said, 'Dr., can't you take another stitch?' and he did, and called it the 'Husband Stitch'." Use of the term in the medical literature can be traced to Transactions of the Texas State Medical Association in 1885, where a doctor claimed to have performed one. While repair of the perineum may be medically necessary, an extra stitch is not, and may cause discomfort or pain.
The claimed purpose is to tighten the opening of the vagina and thereby enhance the pleasure of her male sex partner during penetrative intercourse. The husband stitch or husband's stitch, also known as the daddy stitch, husband's knot and vaginal tuck, is a surgical procedure in which one or more additional sutures than necessary are used to repair a woman's perineum after it has been torn or cut during childbirth. Excessive surgical repair of perineal birth damage
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