<p><?tk 2?>This study explores how Indian medical professionals navigate the complex ethical, cultural, and social terrain surrounding hymenoplasty, a surgical procedure rooted in patriarchal and societal norms linking a woman’s worth to virginity. Using a qualitative research design with in-depth interviews with gynecologists and cosmetic surgeons, this study reveals the deep internal and external conflicts that doctors face: balancing respect for patient autonomy with the recognition that requests for hymenoplasty are often driven by social coercion and the threat of stigmatization or harm. Key findings reveal that doctors’ communication styles and use of shared decision-making can either challenge or reinforce prevailing myths about virginity. The clinical space thus becomes a crucial site where gendered constructs are either contested or perpetuated. This study highlights an urgent need for institutional guidelines that prioritize ethical practice, mandatory counseling, and more robust informed consent processes for hymenoplasty. In the long term, comprehensive, age-appropriate sex education is recommended as a vital strategy to dismantle the persistent societal and cultural myths that fuel the demand for such procedures and to promote women’s autonomy and well-being.</p>