[wardaddy]

Any standard loggerhead will clear his or her own path and literally rip apart like wet tissue paper any real estate south of Vagina City

Which requires stitching back up obviously

I’ve seen my share torn asunder Vag to Bootie

Is it better to have OB Surgically do it first?

Maybe at least cosmetically if one is concerned about such

[Lizavetta]

As someone who has had four deliveries (first was a 10 lb. c section so I'm leaving him out) I feel somewhat qualified to respond.

Yes, some babies are coming too fast to allow the tissues time to stretch and/or are too big. In those cases an episiotamy is helpful.

But months before delivery perineum massages can prep and toughen up the tissues down there, and it's undeniable that some doctors don't want to wait for things to slowly stretch and accommodate the baby and they unnecessarily cut to hurry things along.