Female genital schistosomiasis (FGS) can occur in the setting of urinary S. haematobium infection, a neglected tropical disease associated with poverty, inadequate sanitation, and limited access to safe drinking water. Confirming a diagnosis of FGS is challenging as there is not a widely accepted diagnostic reference standard for research, diagnosis, and screening. A 2011 expert-led consensus meeting proposed visual inspection of the cervicovaginal mucosa as an adequate reference standard for FGS diagnosis. However, the mucosal changes in visual-FGS are non-specific and have also been associated with bacterial STI, human papillomavirus (HPV) infection, and cervical pre-cancer. Since cervicovaginal visualization is widely promoted for FGS screening and diagnosis, we wished to further evaluate the inter-rater reliability, correlation, and agreement of human expert reviewers in visual-FGS.